Individual provider · Type 1 NPI
Caleb Johnson
Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN
NPI number
1952247405
Active
Practice location
1058 Blair Ave
St. Paul, MN 55104-2120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14057 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1952247405
Caleb Johnson's National Provider Identifier is 1952247405, issued on Apr 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Apr 27, 2026.