Donita Jane Johnson, LPN
Individual provider Active NPI Licensed Practical Nurse · Fargo, ND
NPI 1376368449 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1376368449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L6927 (ND)
- Practice address
- 2101 Elm St N
Fargo, ND 58102-2417 - Phone
- (701) 232-3241
- NPI assigned
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6927 | ND | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L6927 | ND | Yes |
Addresses
Primary practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
1934 S Grandview LN
Bismarck, ND 58503-0849
Phone (701) 471-3216
Other providers in Fargo, ND
- Craig D Johnson
- Cybil Johnson
- Cynthia Johnson
- Daniel David Johnson
- Denise L Johnson
- Edward R Johnson
- Eldon A. Johnson
- Elizabeth Johnson
- Ellen Johnson
- Emily Johnson
All providers in Fargo, ND · Licensed Practical Nurse 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 Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.