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Dr. Nicole Johnson, MD
Family Medicine Physician in Fort Carson, Colorado
NPI 1710207634

Nicole Johnson is a Family Medicine Physician based in San Francisco, CO. Nicole Johnson practices in Fort Carson, CO and has the professional credentials of MD. The NPI Number for Nicole Johnson is 1710207634 and holds a License No. (Colorado).

The current practice location address for Nicole Johnson is 1650 Cochrane Cir, Fort Carson, CO and can be reached out via phone at 719-524-4068.

Location: 1650 Cochrane Cir, Fort Carson, CO, 94105-1744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710207634
Provider Name
Nicole Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1650 Cochrane Cir, Fort Carson, CO, 94105-1744
Phone Number
719-524-4068
Fax Number
Provider Enumeration Date
06/02/2010
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45635 01 AZ STATE MEDICAL LICENSE
55533345 05 CO
A126391 01 CA STATE LICENSE
DR.0054891 01 CO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1650 Cochrane Cir
City
Fort Carson
State
Colorado
Zip
80913
Phone Number
719-524-4068
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir
City
Fort Carson
State
Colorado
Zip
80913
Phone Number
719-524-4068
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
45635 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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