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

Tamara A Johnson, PA-C

Individual provider Physician Assistant · NPI 1023206935

Tamara A Johnson, PA-C is a Physician Assistant in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6490 Excelsior Blvd Ste W200
St Louis Park, MN 55426-4705
Phone: (952) 993-3180
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1045 (MN)

Record details

NPI number1023206935
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007

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