Individual
KELSEY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
Mailing address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11143
MN
Other
Enumeration date
12/28/2023
Last updated
09/20/2024
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