Female

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

Provider Address

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