person
Mr. Brian Robert Johnson, NP
Family Nurse Practitioner in Blackfoot, Idaho
NPI 1962895888

Brian Robert Johnson is a Family Nurse Practitioner based in Blackfoot, ID and is specialized in Family. Brian Robert Johnson practices in Blackfoot, ID and has the professional credentials of NP. The NPI Number for Brian Robert Johnson is 1962895888 and holds a License No. NP-1550A (Idaho).

The current practice location address for Brian Robert Johnson is 1350 Parkway Dr, Blackfoot, ID and can be reached out via phone at 208-782-2415 and via fax at 208-782-2411. You can also correspond with Brian Robert Johnson through the mailing address at 98 POPLAR ST, BLACKFOOT, ID - 83221-1758 (mailing address contact number: 208-785-4100).

Location: 1350 Parkway Dr, Blackfoot, ID, 83221-1758
person
Provider Profile Details
NPI Number
1962895888
Provider Name
Brian Robert Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1350 Parkway Dr, Blackfoot, ID, 83221-1758
Phone Number
208-782-2415
Fax Number
208-782-2411
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1350 Parkway Dr
City
State
Zip
83221-1657
Phone Number
208-782-2415
Fax Number
208-782-2411
person
Provider Business Mailing Address Details
Address
1350 Parkway Dr
City
State
Zip
83221-1657
Phone Number
208-782-2415
Fax Number
208-782-2411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1550A (Idaho)
Definition
Definition to come...
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