Individual
NICOLE A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
(507) 444-6287
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
(507) 444-6287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10431
MN
363AS0400X
Surgical Physician Assistant
2005032623
MO
Other
Enumeration date
02/02/2006
Last updated
10/28/2008
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