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Ms. Jacquelyn Lee Johnson, CNP
Nurse Practitioner in Little Falls, Minnesota
NPI 1891710984

Jacquelyn Lee Johnson is a Nurse Practitioner based in Little Falls, MN. Jacquelyn Lee Johnson practices in Little Falls, MN and has the professional credentials of CNP. The NPI Number for Jacquelyn Lee Johnson is 1891710984 and holds a License No. R108719-0 (Minnesota).

The current practice location address for Jacquelyn Lee Johnson is 811 2Nd St Se, Little Falls, MN and can be reached out via phone at 320-631-7000 and via fax at 320-632-0534.

Location: 811 2Nd St Se, Little Falls, MN, 56345-3559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891710984
Provider Name
Jacquelyn Lee Johnson
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
811 2Nd St Se, Little Falls, MN, 56345-3559
Phone Number
320-631-7000
Fax Number
320-632-0534
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0107328 01 MEDICA
140376C736 01 MN UCARE MINNESOTA
HP33899 01 HEALTH PARTNERS
A024 01 MN TRICARE
NA9231028468 01 PREFERRED ONE
044997100 05 MN
47G13JO 01 MN BCBS OF MINNESOTA
institution
Provider Business Practice Location Address Details
Address
811 2Nd St Se
City
Little Falls
State
Minnesota
Zip
56345-3559
Phone Number
320-631-7000
Fax Number
320-632-0534
person
Provider Business Mailing Address Details
Address
811 2Nd St Se
City
Little Falls
State
Minnesota
Zip
56345-3559
Phone Number
320-631-7000
Fax Number
320-632-0534
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R108719-0 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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