Individual
WHITNEY RENAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, PMH-C
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
(701) 271-1480
Mailing address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
(701) 271-1480
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R37766
ND
Other
Enumeration date
09/17/2019
Last updated
09/07/2023
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