Individual
MRS. MARY BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3385 DEXTER CT STE 110, DAVENPORT, IA 52807-3475
(563) 355-2244
(319) 356-3949
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F-100600
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F100600
IA
Other
Enumeration date
06/03/2008
Last updated
04/16/2026
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