Individual
JOHANNAH MARIE MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP, MSN
Contact information
Practice address
320 EBAUGH ST, GLENWOOD, IA 51534-1811
(712) 624-9185
(712) 396-4180
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A186196
NE
Other
Enumeration date
06/19/2025
Last updated
10/17/2025
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