Individual
NICOLE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(507) 377-6285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2370725
MN
363L00000X
Nurse Practitioner
Primary
9582
MN
Other
Enumeration date
05/26/2020
Last updated
04/10/2026
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