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
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | F100600 (IA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
Another provider at this address
Other obstetrics & gynecology nurse practitioner providers in Davenport
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.