Individual
NICOLE JI-HAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGCNS-BC
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
Mailing address
733 5TH ST E, SAINT PAUL, MN 55106-5114
(412) 477-7576
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
579
MN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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