Individual
AVERY LEIGH JOHNSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11011 Q ST STE 101C, OMAHA, NE 68137-3700
(308) 641-0403
Mailing address
422 1/2 W 20TH ST, SCOTTSBLUFF, NE 69361-1908
(308) 641-0403
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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