Individual
TAMMY DENISE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
(612) 775-3199
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP 5000
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5000
MN
Other
Enumeration date
02/20/2017
Last updated
06/24/2024
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