Individual
MOLLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 384-4306
Mailing address
PO BOX 550, GRAND ISLAND, NE 68802-0550
(308) 382-1100
(308) 385-0796
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24274
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121
BCBS
NE
01
—
253308
MIDLANDS CHOICE
NE
05
—
47017633016
—
NE
01
—
P00416267
PALMETTO GBA
NE
Enumeration date
04/14/2007
Last updated
11/10/2023
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