Johnson, Nicole

Johnson, Nicole is an individual health care provider with primary practice located at 410 W. 4Th St , Mahnomen MN 56557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Nicole can be contacted via phone (218) 935-2514.

Contact Information

Primary practice address
410 W. 4Th St Mahnomen MN 56557
Phone: (218) 935-2514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022003041 South Dakota

Profile Details

NPI number 1811635014
LBN Legal business name Johnson, Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2022
Last updated May 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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