MRS. JESSICA MARIE JOHNSON (NPI# 1134772072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134772072 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARIE JOHNSON |
| Credential | APRN, CNP, PMHNP-BC |
| Practice Address |
220 N 6th Ave E Duluth MN 55805 |
| Mailing Address |
318 Avenue B Cloquet MN 55720-1544 |
| Practice Telephone | 2184288420 |
| Mailing Telephone | 2184288420 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6753 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1134747165 | Jessica Johnson | Registered Nurse | 535 Los Alamos Rd, Santa Rosa, CA 95409-4425 | 2020-07-07 |
| 1710504311 | Jessica Lee Johnson | Registered Nurse | 7373 W 6th Ave, Lakewood, CO 80214-4518 | 2020-06-30 |
| 1427670827 | Jessica Johnson | Registered Nurse | 745 Shaker Mill Rd, Bowling Green, KY 42103-9064 | 2020-05-08 |
| 1124649926 | Jessica Delores Johnson | Nurse Practitioner | 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 | 2020-05-03 |
| 1467084806 | Jessica Lyn Johnson | Specialist/Technologist | 23 E 157th Pl S, Glenpool, OK 74033-4437 | 2020-02-04 |
| 1215588819 | Jessica Johnson | Counselor | 1001 John D Odom Rd, Dothan, AL 36303-9485 | 2019-09-25 |
| 1356905145 | Jessica Johnson | Technician | 2506 14th St Ne Apt 2, Washington, DC 20018-1928 | 2019-04-26 |
| 1043776503 | Jessica Johnson | Nurse Practitioner | 3303 Duval St, Jupiter, FL 33458-8259 | 2019-02-20 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| Street Address |
220 N 6TH AVE E |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396795290 | Tammy Jean Juten | Counselor | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2006-05-11 |
| 1073090866 | Bari Scheckner Hillman | Psychologist | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2018-07-24 |
| 1790289056 | Kim Louise Lagro | Social Worker | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2018-03-21 |
| 1417457318 | Kelly Ann Chaudoin-patzoldt | Psychologist | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2018-02-16 |
| 1538613534 | Amanda Ruberg | Social Worker | 220 N 6th Ave E, Duluth, MN 55805 | 2016-08-08 |
| 1164883435 | Kayla D Langlee | Social Worker | 220 N 6th Ave E, Duluth, MN 55805 | 2016-03-15 |
| 1366811259 | Jacque A Gowan | Social Worker | 220 N 6th Ave E, Duluth, MN 55805 | 2015-09-21 |
| 1740666221 | Lisa Marlene Haberling | Social Worker | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2015-08-06 |
| 1841672797 | Nicole Granberg | Nurse Practitioner | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2015-06-26 |
| 1316337504 | Petra Woehrle | Psychologist | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831737501 | Farah Rahim | Nurse Practitioner | 3305 Breckinridge Blvd, Duluth, GA 30096-4932 | 2019-12-12 |
| 1699311787 | Sharon Mclean | Nurse Practitioner | 3843 Meeting St, Duluth, GA 30096-4816 | 2019-11-23 |
| 1710505680 | Sarah Mcisaac | Nurse Practitioner | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-07-08 |
| 1780201657 | Alyssa Dye | Nurse Practitioner | 615 Pecan Ave, Duluth, MN 55811-2749 | 2020-06-26 |
| 1386260370 | Heidi A Greifzu | Nurse Practitioner | 502 E 2nd St, Duluth, MN 55805-1913 | 2020-06-25 |
| 1528684446 | Heidi Louise Wendorf | Nurse Practitioner | 1406 E 2nd St, Duluth, MN 55805-2378 | 2020-06-17 |
| 1003468760 | Molly B Dwyer | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-07-12 |
| 1013493345 | Amy Jo Schwab | Nurse Practitioner | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-07-19 |
| 1396237764 | Coleen Rose Christensen | Nurse Practitioner | 332 W Superior St Ste 300, Duluth, MN 55802-1844 | 2018-06-01 |
| 1194272781 | Rebecca Leigh Wachsmuth | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.