Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 S 250 W STE 208, SAINT GEORGE, UT 84770-6747
(435) 688-1111
(435) 688-8488
Mailing address
1173 S 250 W STE 208, ST GEORGE, UT 84770-6747
(435) 688-1111
(435) 688-8488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7518925-4405
UT
363LF0000X
Family Nurse Practitioner
7518925-8900
UT
363LF0000X
Family Nurse Practitioner
F0912023
UT
Other
Enumeration date
12/04/2012
Last updated
09/26/2025
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