Individual provider · Type 1 NPI
Nicole Johnson, NP
Family Nurse Practitioner · Mahnomen, MN
NPI number
1811635014
Active
Practice location
410 W. 4th St
Mahnomen, MN 56557
Mailing address
47639 192nd St
Brandt, SD 57218-5731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2022003041 (SD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1811635014
Nicole Johnson, NP's National Provider Identifier is 1811635014, issued on May 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mahnomen, MN. The record was last updated on May 26, 2022.