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Johnna Nicco Long, FNP
Family Nurse Practitioner in Eagle, Colorado
NPI 1447918800

Johnna Nicco Long is a Family Nurse Practitioner based in Eagle, CO and is specialized in Family. Johnna Nicco Long practices in Eagle, CO and has the professional credentials of FNP. The NPI Number for Johnna Nicco Long is 1447918800 and holds a License No. APN.0997169-NP (Colorado).

The current practice location address for Johnna Nicco Long is 101 Greenhorn Ave, Eagle, CO and can be reached out via phone at 970-389-7353.

Location: 101 Greenhorn Ave, Eagle, CO, 81631-0181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447918800
Provider Name
Johnna Nicco Long
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
101 Greenhorn Ave, Eagle, CO, 81631-0181
Phone Number
970-389-7353
Fax Number
Provider Enumeration Date
12/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Greenhorn Ave
City
Eagle
State
Colorado
Zip
81631-6040
Phone Number
970-389-7353
Fax Number
person
Provider Business Mailing Address Details
Address
101 Greenhorn Ave
City
Eagle
State
Colorado
Zip
81631-6040
Phone Number
970-389-7353
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN.0997169-NP (Colorado)
Definition
Definition to come...
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