Individual
MRS. TRUDI H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
410 E RUSHOLME ST, DAVENPORT, IA 52803-3053
(502) 931-6229
Mailing address
1819 JERSEY RIDGE RD, DAVENPORT, IA 52803-3353
(502) 931-6229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209033666
IL
363LF0000X
Family Nurse Practitioner
A185601
IA
Other
Enumeration date
07/14/2025
Last updated
07/06/2026
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