JEREMIAH JOHNSON

FARGO, ND
NPI1710548862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ND  R39076)
Enumeration Date2019-06-27
Last Update Date2024-09-03
Business Address
JEREMIAH JOHNSON A-GNP
736 BROADWAY N
FARGO, ND 58102-4421
Phone number: 701-234-2000
Mailing Address
JEREMIAH JOHNSON A-GNP
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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