Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Logan Johnson, PA-C

Individual provider Physician Assistant · NPI 1497141527

Logan Johnson, PA-C is a Physician Assistant in Henderson, Nevada. Works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10652 S Eastern Ave Ste A
Henderson, NV 89052-4952
Phone: (702) 476-2800
Fax: (702) 476-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3841 W Charleston Blvd Ste 203, Las Vegas, NV 89102-1858 — (702) 848-4443

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0313 (NV)

Record details

NPI number1497141527
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESFebruary 12, 2019
Mailing addressPo Box 743752, Atlanta, GA 30374-3752

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