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Individual

ANN ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
101 W 24TH ST, KEARNEY, NE 68847-5358
(308) 865-2740
(308) 865-2747
Mailing address
101 W 24TH ST, KEARNEY, NE 68847-5358
(308) 865-2740
(308) 865-2747

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
110249
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47056223401
NE
Enumeration date
09/26/2005
Last updated
08/24/2011
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