Individual
EMMYLU ABBIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(515) 248-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
108148
IA
363A00000X
Physician Assistant
Primary
11496
MN
Other
Enumeration date
11/15/2013
Last updated
01/16/2026
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