1568430346 Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER
Adult Health Nurse Practitioner
Active
Basic Information
- Full Name
- Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER
- Gender
- Female
- Enumeration Date
- March 9, 2006
- Last Update
- September 6, 2023
Practice Location
- Address
- 720 4TH AVE S
SAINT CLOUD, MN 563014442 - Phone
- (320) 308-4861
- Fax
- (320) 308-3192
Mailing Address
- Address
- 720 4TH AVE S
SAINT CLOUD, MN 563014442 - Phone
- (320) 308-4861
- Fax
- (320) 308-3192
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Health Nurse Practitioner Adult Health | 363LA2200X | Nurse Practitioner | R 107237-0 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41687554 | 01 | MN | EIN |
Frequently Asked Questions
What is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's NPI number?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's NPI number is 1568430346.
Which doctor has NPI number 1568430346?
The doctor with NPI number 1568430346 is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER.
What is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's practice address?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's practice address is 720 4TH AVE S, SAINT CLOUD, MN, 563014442.
Which doctor practices at 720 4TH AVE S, SAINT CLOUD, MN, 563014442?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER practices at 720 4TH AVE S, SAINT CLOUD, MN, 563014442.
What is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's phone number?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's phone number is (320) 308-4861.
Who is (320) 308-4861?
(320) 308-4861 is the phone number for Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER.
What is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's specialty?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER's specialty is Adult Health Nurse Practitioner.
What type of doctor is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER is a Adult Health Nurse Practitioner.
Is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER a Adult Health?
Yes, Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER is a Adult Health.
Is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER still practicing?
Yes, Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER is currently practicing.
Is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER accepting new patients?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER may be accepting new patients. Please call their office at (320) 308-4861 to inquire about availability.
Is NPI 1568430346 still active?
Yes, NPI 1568430346 is currently active.
Where does Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER practice?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER practices in SAINT CLOUD, MN.
Is Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER a male or female doctor?
Mrs. Icephine Ballard Johnson, NURSE PRACTITIONER is a female doctor.