Individual
HANNAH LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2955 XENIUM LN N, PLYMOUTH, MN 55441-2666
(763) 398-6383
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-8812
(763) 398-6383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15253
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2023
Last updated
07/03/2025
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