Nicole Jackie Johnson-Chavez Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Saint Peter, MN

NPI

1376889014

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

6497 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2012-12-28

Last updated

2019-03-30