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Individual

MOLLY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4626 MADISON AVE, LINCOLN, NE 68504-2648
(402) 219-3892
Mailing address
5025 W GARY GATELY ST, LINCOLN, NE 68528-1731
(402) 219-3892

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
79088
NE

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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