Individual provider · Type 1 NPI
Bethany Johnson, FNP-BC
Nurse Practitioner · Fargo, ND
Practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
5225 23rd Ave S
Fargo, ND 58104-7927
Other practice locations
- 801 Broadway N, Fargo, ND 58102-3641 · (701) 234-2000
- 5225 23rd Ave S, Fargo, ND 58104-7927 · (701) 417-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 205339 (ND) |
| Nurse Practitioner Primary | 363L00000X | 205339 (ND) |
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 1104751320
Bethany Johnson, FNP-BC's National Provider Identifier is 1104751320, issued on Jun 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Jul 7, 2026.