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Michael J Johnson
Psychiatric/Mental Health Nurse Practitioner in Cedar Rapids, Iowa
NPI 1104175405

Michael J Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Davenport, IA and is specialized in Psychiatric/Mental Health. Michael J Johnson practices in Cedar Rapids, IA. The NPI Number for Michael J Johnson is 1104175405 and holds a License No. 209009740 (Iowa).

The current practice location address for Michael J Johnson is 1026 A Ave Ne, Cedar Rapids, IA and can be reached out via phone at 319-369-7959. You can also correspond with Michael J Johnson through the mailing address at 2826 W LOCUST ST, DAVENPORT, IA - 52804-3354 (mailing address contact number: 563-332-8528).

Location: 1026 A Ave Ne, Cedar Rapids, IA, 52804-3354
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Provider Profile Details
NPI Number
1104175405
Provider Name
Michael J Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1026 A Ave Ne, Cedar Rapids, IA, 52804-3354
Phone Number
319-369-7959
Fax Number
Provider Enumeration Date
08/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G094270 01 IA ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
1026 A Ave Ne
City
State
Zip
52402-5036
Phone Number
319-369-7959
Fax Number
person
Provider Business Mailing Address Details
Address
2826 W Locust St
City
State
Zip
52804-3354
Phone Number
563-332-8528
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209009740 (Illinois)
Definition
Definition to come...
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