Individual
BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-7290
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 327-2035
(563) 336-3014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-122503
IA
Other
Enumeration date
08/07/2013
Last updated
01/16/2017
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