Individual
ROXANNE M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 9TH ST SW # 2, JAMESTOWN, ND 58401-4644
(701) 952-9600
(701) 952-9601
Mailing address
110 9TH ST SW # 2, JAMESTOWN, ND 58401-4644
(701) 952-9600
(701) 845-8067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R22212
ND
363LF0000X
Family Nurse Practitioner
Primary
R22212
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19721
—
ND
Enumeration date
01/29/2007
Last updated
09/10/2021
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