Individual
MRS. MINDY LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
200 E 3RD ST, JAMESTOWN, NY 14701-5433
(716) 661-8331
(716) 661-8364
Mailing address
2 ACADEMY ST RM 201, MAYVILLE, NY 14757-1050
(716) 753-4104
(716) 753-4320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702216-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
702216
NY
Other
Enumeration date
08/12/2015
Last updated
09/08/2023
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