Individual
KIMBERLY ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1285 VIRGINIA AVE, NORTH BEND, OR 97459-2715
(541) 751-7908
(541) 615-9303
Mailing address
1285 VIRGINIA AVE, NORTH BEND, OR 97459-2715
(541) 751-7908
(541) 615-9303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216738
MT
Other
Enumeration date
06/29/2023
Last updated
04/14/2026
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