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

Nicole Johnson, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902724768

Nicole Johnson, PA-S is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1098 Bearpaw Ln
Moscow, ID 83843-7408
Phone: (208) 596-7997
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1902724768
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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