Individual provider · Type 1 NPI

Marc Ray Johnson

Psychiatric/Mental Health Nurse Practitioner · Omaha, NE

NPI number 1700620622 Active

Practice location

8601 W Dodge Rd Ste 106
Omaha, NE 68114-3430

Mailing address

5030 Myrtle St
Lincoln, NE 68506-6310

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X115439 (NE)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1700620622

Marc Ray Johnson's National Provider Identifier is 1700620622, issued on Jun 24, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Omaha, NE. The record was last updated on Jun 24, 2024.