Katherine J. Johnson NP
Gerontology Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Katherine J Johnson NP
NPI Number
1487498382
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/24/2024
Specialties
(Taxonomies)Code
363LG0600X
363LA2200X
Primary Taxonomy
Yes
No
Licenses
State
Minnesota
Minnesota
License Number
11706
2279509
Contact
Information
Purpose
Mailing
Location
Address
2925 CHICAGO AVE
800 E 28TH ST STE 401
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55407-1321
55407-3723
Country
US
US
Telephone Number
(612) 262-9000
(612) 863-0200
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/30/2024