Individual
BETHANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2251
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
205339
ND
363LF0000X
Family Nurse Practitioner
205339
ND
Other
Enumeration date
06/17/2026
Last updated
07/07/2026
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