Johnson, Julie Nicole

Johnson, Julie Nicole is an individual health care provider with primary practice located at 105 S State St Ste 113 , Aberdeen SD 57401-4502. She recently has 3 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 / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Julie Nicole can be contacted via phone (605) 225-0378.

Contact Information

Primary practice address
105 S State St Ste 113 Aberdeen SD 57401-4502
Phone: (605) 225-0378
Fax: (605) 225-7919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R34697 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP1297 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP1297 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP001423 South Dakota

Profile Details

NPI number 1386906733
LBN Legal business name Johnson, Julie Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Sep 18th, 2018 - about 6 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 1386906733 NPPES
North Dakota MEDICAID 84188

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