Individual
MELODY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-16547
NC
363A00000X
Physician Assistant
0110011741
VA
363A00000X
Physician Assistant
085012093
IL
363A00000X
Physician Assistant
10005425A
IN
363A00000X
Physician Assistant
Primary
13206
MN
363A00000X
Physician Assistant
137640
IA
363A00000X
Physician Assistant
14133
GA
363A00000X
Physician Assistant
14287809-1206
UT
363A00000X
Physician Assistant
2856
AL
363A00000X
Physician Assistant
3473
NE
363A00000X
Physician Assistant
50.010217RX
OH
363A00000X
Physician Assistant
C5-0012484
DE
363A00000X
Physician Assistant
PA.0009681
CO
363A00000X
Physician Assistant
PA.70143677
WA
363A00000X
Physician Assistant
PA9121569
FL
Other
Enumeration date
09/25/2019
Last updated
08/04/2026
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