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

Miss. Kerry Lynn Johnson, PA

Individual provider Physician Assistant · NPI 1558665414

Miss. Kerry Lynn Johnson, PA is a Physician Assistant in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

635 Belle Terre Rd Ste 204
Port Jefferson, NY 11777-1935
Phone: (631) 474-0008
Fax: (631) 474-0224
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014438 (NY)

Record details

NPI number1558665414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJuly 16, 2019

Other providers in Port Jefferson