Individual
JULIE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8420
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
104863
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002618
TOUCHPOINT
WI
01
—
12587
DEAN
WI
01
—
39080723685
UNITY
WI
05
—
43843600
—
WI
01
—
WI01N7
JOHN DEERE
WI
Enumeration date
11/09/2005
Last updated
07/31/2007
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