Charlene Johnson, RN
Individual provider Active NPI Emergency Registered Nurse · Fargo, ND
NPI 1962227892 · NPPES record last updated Nov 16, 2024
Key facts
- NPI
- 1962227892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- R41835 (ND)
- Practice address
- 2101 Elm St N
Fargo, ND 58102-2417 - Phone
- (701) 237-2611
- NPI assigned
- Nov 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2459535 | MN | MD | Emergency Registered Nurse |
| R41835 | ND | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 2459535 | MN | |
| Emergency Registered Nurse | 163WE0003X | R41835 | ND | Yes |
Addresses
Primary practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 237-2611
Other providers in Fargo, ND
- Brian Johnson
- Brittney Noelle Johnson
- Brooke S Johnson
- Carol J. Johnson
- Chantel Johnson
- Charlsey Johnson
- Chase Johnson
- Chloe L Johnson
- Colin James Johnson
- Craig D Johnson
All providers in Fargo, ND · Emergency Registered 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 16, 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.