Individual provider · Type 1 NPI

Liselle Marie Johnson, CNP

Nurse Practitioner · Rochester, MN

NPI number 1053719237 Active

Practice location

200 1st St SW
Rochester, MN 55905-0001

Call (507) 284-2511 Map

Mailing address

701 Hewitt Blvd, Red Wing
Mn, MN 55066-2848

Other practice locations

32021 County 24 Blvd, Cannon Falls, MN 55009-5003 · (507) 263-6000
701 Hewitt Blvd, Red Wing, MN 55066-2848 · (507) 377-6285

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	CNP 1577 (MN)
Nurse Practitioner Primary	363L00000X	1577 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053719237

Liselle Marie Johnson, CNP's National Provider Identifier is 1053719237, issued on Dec 19, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, MN. The record was last updated on Feb 2, 2021.