Individual
JANA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2591
(605) 322-6960
(605) 322-6961
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5201
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300306
MEDICA
SD
05
—
0575076
—
IA
05
—
136643200
—
MN
01
—
147L0JO
BLUE CROSS
MN
01
—
1908621
ARAZ/ AMERICA'S PPO
SD
01
—
240793
MIDLANDS CHOICE
SD
01
—
31894
SANFORD HEALTH PLAN
SD
01
—
407211034720
PREFERRED ONE
SD
05
—
46022474343
—
NE
01
—
4996031
BLUE CROSS
SD
01
—
5201
DAKOTACARE
SD
01
—
57108B005
WPS TRICARE
SD
05
—
5900460
—
SD
01
—
HP39293
HEALTHPLANS
SD
01
—
P00369254
RR MEDICARE
SD
Enumeration date
02/23/2006
Last updated
10/15/2018
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