Individual provider · Type 1 NPI

Sidney R. Johnk, APRN, CNP

Pediatric Nurse Practitioner · Fargo, ND

NPI number 1992406656 Active

Practice location

4110 51st Ave S
Fargo, ND 58104-7776

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR42226 (ND)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1992406656

Sidney R. Johnk, APRN, CNP's National Provider Identifier is 1992406656, issued on Mar 10, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fargo, ND. The record was last updated on Mar 10, 2023.