Individual
DR. ASHLEY KERYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, ANP-C
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 676-5008
(612) 676-5024
Mailing address
10432 QUEBEC AVE S, BLOOMINGTON, MN 55438-2137
(480) 221-3321
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP4095
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
R160709-1
MN
Other
Enumeration date
06/14/2011
Last updated
02/09/2017
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