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Individual

MOLLY M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
505 S 45TH ST, OMAHA, NE 68198
(402) 559-5600
Mailing address
3333 S 113TH ST # NEUSA, OMAHA, NE 68144-4741
(402) 616-6136

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111412
NE

Other

Enumeration date
08/29/2012
Last updated
05/13/2024
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