Individual
TAMARA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 N BAILEY, NORTH PLATTE, NE 69103
(308) 534-6029
(308) 534-6961
Mailing address
PO BOX 1209, 110 N BAILEY, NORTH PLATTE, NE 69103
(308) 534-6029
(308) 534-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702
MIDLANDS CHOICE
—
01
—
32112
BCBS
—
01
—
97103
BCBS
—
Enumeration date
07/10/2006
Last updated
02/19/2025
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