Individual provider · Type 1 NPI
Stephanie Jo Johanneck, APRN, AGNP, CNP
Nurse Practitioner · Willmar, MN
Practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Mailing address
16870 105th Ave NE
Atwater, MN 56209-9315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6641 (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…
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About NPI 1891355913
Stephanie Jo Johanneck, APRN, AGNP, CNP's National Provider Identifier is 1891355913, issued on Jun 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Willmar, MN. The record was last updated on May 25, 2023.