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

Meredith Johnson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1811415276

Meredith Johnson, PHYSICIANASSISTANT is a Physician Assistant in Boston, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

72 E Concord St
Boston, MA 02118-2642
Phone: (707) 236-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1811415276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESJanuary 3, 2022
Mailing address3835 Alta Vista Ave, Santa Rosa, CA 95409-4052

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