Individual provider · Type 1 NPI
Leola Johnson, RN, CNS
Psychiatric/Mental Health Nurse Practitioner · New Brighton, MN
NPI number
1689008062
Active
Practice location
1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786
Fax (651) 628-0411
Mailing address
13021 Evergreen Dr
Baxter, MN 56425-7439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0917 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689008062
Leola Johnson, RN, CNS's National Provider Identifier is 1689008062, issued on Aug 21, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Brighton, MN. The record was last updated on Jan 29, 2016.