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Organization
EVERNORTH CLINIC, PLLC
Active
Organization
EVERNORTH CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JOHNSON APRN, CPNP-PC (OWNER, FOUNDER)
(931) 436-8197
Entity
Organization
Contact information
Practice address
5703 LACHMAN AVE NE, ALBERTVILLE, MN 55301-3973
(763) 284-1877
(763) 205-5834
Mailing address
PO BOX 48, ALBERTVILLE, MN 55301-0048
(763) 284-1877
(763) 205-5834
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
10/06/2025
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