Johnson, Roxanne M.

Johnson, Roxanne M. is an individual health care provider with primary practice located at 110 9Th St Sw # 2 , Jamestown ND 58401-4644. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Roxanne M. can be contacted via phone (701) 952-9600.

Contact Information

Primary practice address
110 9Th St Sw # 2 Jamestown ND 58401-4644
Phone: (701) 952-9600
Fax: (701) 952-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R22212 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R22212 North Dakota

Profile Details

NPI number 1609912450
LBN Legal business name Johnson, Roxanne M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 10th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609912450 NPPES
North Dakota MEDICAID 19721

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