Individual provider · Type 1 NPI
Jewel Johnson
Nurse Practitioner · Maple Grove, MN
Practice location
11555 Boulder Ct
Maple Grove, MN 55311-7521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12799 (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…
Another provider at this address
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About NPI 1336020353
Jewel Johnson's National Provider Identifier is 1336020353, issued on Sep 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 8, 2025.