Individual
KINSEY LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 365-8700
Mailing address
1809 E ROSE CREEK PKWY S, FARGO, ND 58104-6836
(701) 212-2778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R47295
ND
Other
Enumeration date
06/16/2023
Last updated
07/25/2023
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