Leola Johnson, RN, CNS Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · New Brighton, MN
- NPI
- 1689008062
- 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
- 0917 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-08-21
- Last updated
- 2016-01-29
Practice location
1900 Silver Lake Rd Nw, Suite 110
New Brighton, MN 55112-1786
(651) 628-9566