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

Miss. Nicole Marie Johnson, PA-C

Individual provider Physician Assistant · NPI 1033414248

Miss. Nicole Marie Johnson, PA-C is a Physician Assistant in Midvale, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2011
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

7302 S Bingham Junction Blvd
Midvale, UT 84047-4804
Phone: (801) 442-5502
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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 8975784-1206 (UT)

Record details

NPI number1033414248
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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