Individual
MS. SHERRY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP, CNS
Contact information
Practice address
1001 E SUPERIOR ST, STE, L201, DULUTH, MN 55802-2207
(218) 249-7990
Mailing address
1001 E SUPERIOR ST, STE, L201, DULUTH, MN 55802-2207
(218) 249-7990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R108737-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923108100
—
MN
Enumeration date
05/12/2006
Last updated
01/20/2021
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