Individual
MS. DALEENA J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AANP-BC, AGPCNP, MSN
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 765-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 765-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG12200084
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
209024012
IL
Other
Enumeration date
01/05/2021
Last updated
09/28/2021
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