Individual provider · Type 1 NPI
Jeremiah Johnson, A-GNP
Nurse Practitioner · Fargo, ND
Practice location
736 Broadway N
Fargo, ND 58102-4421
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R39076 (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 1710548862
Jeremiah Johnson, A-GNP's National Provider Identifier is 1710548862, issued on Jun 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Sep 3, 2024.