Individual
JUSTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-2000
Mailing address
12605 E 16TH AVENUE, DENVER, CO 80220-2039
(916) 534-6631
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1673417
CO
208600000X
Surgery Physician
1673417
CO
Other
Enumeration date
06/09/2025
Last updated
01/27/2026
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