Individual
DR. KARISSA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3911 AVENUE B STE 3100, SCOTTSBLUFF, NE 69361-4617
(308) 635-3033
(308) 635-3010
Mailing address
3911 AVENUE B STE 3100, SCOTTSBLUFF, NE 69361-4617
(308) 635-3033
(308) 635-3010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
261259
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
32483
NE
Other
Enumeration date
06/19/2010
Last updated
05/12/2020
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