Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ICEPHINE BALLARD JOHNSON, NURSE PRACTITIONER
ActiveMRS. ICEPHINE BALLARD JOHNSON, NURSE PRACTITIONER is a Adult Health Nurse Practitioner healthcare provider located in SAINT CLOUD, Minnesota. NPI 1568430346 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1568430346
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2006 (20.2449955605 yrs)
- Last Updated
- Sep 6, 2023
- License
-
R 107237-0 (MN)
Practice Information
- Address
-
720 4TH AVE SSAINT CLOUD, MN, 563014442Browse MN providers · Browse ZIP 56301
- Phone
- 3203084861
- Fax
- 3203083192
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN M MAHON | CNP | 1790787505 |
| JEANNE M NOTSCH | CNP | 1487644134 |
| MARILYN M SKURDAHL | CNP | 1194716811 |
| ERIN FRANCES OSMUNDSON | RN, CNP | 1720045735 |
| MS. CHARLOTTE ANN ROEBER | NP | 1073522777 |
| MARY HELEN ANDREOTTI | RN CNP | 1538383625 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.