Individual
JENNIFER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1701 38TH ST S, STUITE 101, FARGO, ND 58103-4499
(701) 356-1500
(701) 356-1616
Mailing address
136 RIVERWOOD DR, HARWOOD, ND 58042-4020
(701) 412-3170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R1890303
MN
363LF0000X
Family Nurse Practitioner
Primary
R31754
ND
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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