Individual
DESTINY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2201 N. BROADWELL AVE, GRAND ISLAND, NE 68803
(308) 382-3660
Mailing address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 395-3207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
09/16/2025
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