Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lori Johnson, PA-C

Individual provider Physician Assistant · NPI 1730591264

Lori Johnson, PA-C is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida, New York and Virginia.

Licensed in
FL, NY, VA
In the registry since
2014
Specialties on file
3
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

3386 Laurel Grv S
Jacksonville, FL 32223-7816
Phone: (904) 613-7910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3328 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0110004445 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 004939-1 (NY)

Record details

NPI number1730591264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 2, 2014
Last updated in NPPESJune 2, 2014
Mailing address3386 Laurel Grv S, Jacksonville, FL 32223-7816

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