Individual
MELISSA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-3313
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-3313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22451
NE
207P00000X
Emergency Medicine Physician
M4217
TX
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
22451
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183091101
—
TX
01
—
8G7457
BCBS THRU HEB
TX
01
—
P00374461
RAILROAD MCARE THRU HEB
TX
Enumeration date
08/30/2006
Last updated
07/25/2023
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