Individual
JENNIFER LINDSAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
412 MAIN AVE NE, WARROAD, MN 56763-2342
(218) 386-2020
Mailing address
412 MAIN AVE NE, WARROAD, MN 56763-2342
(218) 386-2020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2155283
MN
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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