Individual
CHANNING JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
1601 NW 114TH ST STE 255, CLIVE, IA 50325-7036
(515) 461-9780
(515) 461-9779
Mailing address
PO BOX 674721, DALLAS, TX 75267-4721
(515) 643-2519
(515) 461-9779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A181114
IA
Other
Enumeration date
09/04/2024
Last updated
05/12/2026
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