Julie O Johnson, R.N.
Individual provider Active NPI Nurse Practitioner · Rochester, MN
NPI 1699752121 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1699752121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1154 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Dec 27, 2005
- 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)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154 | MN | MD | Nurse Practitioner |
| R087079-3 | MN | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R087079-3 | MN | |
| Nurse Practitioner | 363L00000X | 1154 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other providers in Rochester, MN
- Jennifer Johnson
- Jessica Marie Johnson
- Jody Lynn Johnson
- Jonathan N Johnson
- Julie M Johnson
- Kailee Jo Johnson
- Kari Johnson
- Karisa Johnson
- Katherine Johnson
- Kathleen K Johnson
All providers in Rochester, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2019. 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.