Individual
MRS. JESSICA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP, PMHNP-BC
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805
(218) 428-8420
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6753
MN
Other
Enumeration date
07/19/2019
Last updated
12/18/2020
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