MRS. ICEPHINE JOHNSON, NURSE PRACTITIONER

Nurse Practitioner - Adult Health

Active Individual
NPI: 1568430346

Practice Address

720 4TH AVE S
Saint Cloud, MN 56301

Phone: (320) 308-4861

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes R 107237-0 (MN)

Frequently Asked Questions

NPI 1568430346 is the National Provider Identifier for MRS. ICEPHINE JOHNSON, NURSE PRACTITIONER, a Nurse Practitioner - Adult Health provider located in Saint Cloud, MN. This NPI was enumerated on March 9, 2006.
MRS. ICEPHINE JOHNSON, NURSE PRACTITIONER practices at 720 4TH AVE S, Saint Cloud, MN 56301.

Quick Facts

NPI
1568430346
Type
Individual
Enumerated
Mar 9, 2006
Last Updated
Sep 6, 2023

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