Icephine Ballard Johnson is an Adult Health Nurse Practitioner based in Saint Cloud, MN and is specialized in Adult Health. Icephine Ballard Johnson practices in Saint Cloud, MN and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Icephine Ballard Johnson is 1568430346 and holds a License No. R 107237-0 (Minnesota).
The current practice location address for Icephine Ballard Johnson is 720 4Th Ave S, Saint Cloud, MN and can be reached out via phone at 320-308-4861 and via fax at 320-308-3192.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41687554 | 01 | MN | EIN |
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