Vonnie Jean Johnson, FNP
Individual provider Active NPI Family Nurse Practitioner · Stanley, ND
NPI 1124279633 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1124279633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R14983 (ND)
- Practice address
- 615 6TH St SE
Stanley, ND 58784-4444 - Phone
- (701) 628-2505
- Fax
- (701) 628-3274
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R14983 | ND | Yes |
Addresses
Primary practice location
615 6TH St SE
Stanley, ND 58784-4444
Mailing address
12041 40TH St NW
Watford City, ND 58854-9676
Phone (701) 842-2055
Other providers in Stanley, ND
- Nancy A Hermanson
- Carol Elaine Hynek
- Janice E Johnson
- Kurtis Todd Johnson
- Pamella Jo Johnson
- Shelly L Kinney
- Matthew Klein
- Alice Kay Koshevatskiy
- Richard Paul Laksonen Jr.
- Cindy Sue Lancaster
All providers in Stanley, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.