Individual
CARLI JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E 20TH ST STE 700, SIOUX FALLS, SD 57105-1049
(605) 334-0393
Mailing address
328 N ALLEN AVE, COLMAN, SD 57017-2029
(605) 864-0918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001957
SD
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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