Individual
JACQUELINE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LSN
Contact information
Practice address
4001 W 102ND ST, BLOOMINGTON, MN 55437-2602
(952) 806-7608
Mailing address
4001 W 102ND ST, BLOOMINGTON, MN 55437-2602
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
120561-3
MN
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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