Individual
ELLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HIGH ST # 100, TECUMSEH, NE 68450-2443
(402) 335-2811
(402) 335-2826
Mailing address
202 HIGH ST # 100, TECUMSEH, NE 68450-2443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
09/04/2024
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