Individual
JULIE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 S STATE ST STE 113, ABERDEEN, SD 57401-4502
(605) 225-0378
(605) 225-7919
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2876
(605) 622-2804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R34697
ND
363LF0000X
Family Nurse Practitioner
CNP1297
MN
363LF0000X
Family Nurse Practitioner
Primary
CP001423
SD
363LP2300X
Primary Care Nurse Practitioner
CNP1297
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84188
—
ND
Enumeration date
06/12/2012
Last updated
09/18/2018
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