Individual
JOANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
1316 23RD S ST, FARGO, ND 58103-3707
(701) 478-0333
(701) 478-0434
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R38122
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R38122
ND
Other
Enumeration date
04/29/2014
Last updated
07/06/2015
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