Individual
CRYSTAL JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1610 W TOWNLINE ST, CRESTON, IA 50801-1066
(641) 782-2131
(641) 782-6425
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-2131
(641) 782-6425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A92500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811310733
BCBS
IA
05
—
1811310733
—
IA
Enumeration date
10/17/2011
Last updated
12/12/2016
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