Individual
JAMIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
736 1ST ST NW, MENAHGA, MN 56464
(218) 564-5239
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L52060-3
MN
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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