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Jane Johnson
NPI 1992223697 · on the registry since 2017
Practice
- Address
- 2405 8th St S Ste 200
Moorhead, MN 56560 - Phone
- (218) 380-7357
- Fax
- (218) 331-4867
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MN, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-20
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