Johnson, Tucker Boone

Johnson, Tucker Boone is an individual health care provider with primary practice located at 6525 France Ave S Ste 200 , Edina MN 55435-2176. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Johnson, Tucker Boone can be contacted via phone (952) 927-6501.

Contact Information

Primary practice address
6525 France Ave S Ste 200 Edina MN 55435-2176
Phone: (952) 927-6501
Fax: (952) 653-1433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12064896-1206 Utah

Profile Details

NPI number 1598267676
LBN Legal business name Johnson, Tucker Boone
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Oct 25th, 2021 - about 5 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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