Search › Minnesota › 363LA2200X
Icephine Johnson, NURSE PRACTITIONER
NPI 1568430346 · on the registry since 2006
Practice
- Address
- 720 4th Ave S
Saint Cloud, MN 56301 - Phone
- (320) 308-4861
- Fax
- (320) 308-3192
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota