Johnsen, Brianne Lynn

Johnsen, Brianne Lynn is an individual health care provider with primary practice located at 55 Fruit St. Yawkey 2C, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Johnsen, Brianne Lynn can be contacted via phone (617) 726-7938.

Contact Information

Primary practice address
55 Fruit St. Yawkey 2C Boston MA 02114
Phone: (617) 726-7938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1215 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4181 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00441 Rhode Island

Profile Details

NPI number 1275558652
LBN Legal business name Johnsen, Brianne Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275558652 NPPES
Other 1275558652 NPI
Other 939025129 NPI
Other 414337 NPI
Other 01/15/2008 NPI
Other 979005636 NPI
MEDICAID 1275558 NPI
Other 33070-7 NPI

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