Individual provider · Type 1 NPI

Mary Beth Johnson, ARNP

Obstetrics & Gynecology Nurse Practitioner · Davenport, IA

NPI number 1104085497 Active

Practice location

3385 Dexter Ct Ste 110
Davenport, IA 52807-3475

Fax (319) 356-3949

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XF100600 (IA)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1104085497

Mary Beth Johnson, ARNP's National Provider Identifier is 1104085497, issued on Jun 3, 2008. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Davenport, IA. The record was last updated on Apr 16, 2026.