Jennifer L Johnson (NPI# 1194085969, PAC ID# 2961751425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194085969 |
| PAC ID by PECOS | 2961751425 |
| Professional Enrollment ID | I20180816003439 |
| Full Name | Jennifer L Johnson |
| Organization Legal Name | HOSPICE OF THE RED RIVER VALLEY |
| Address |
1701 38th St S Suite 101 Fargo ND 58103-4499 |
| Phone Number | 7013561500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264343003 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| 241373 | PERHAM HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1415 Madison Ave, Detroit Lakes, MN 56501-4542 | 2188474486 | HOSPICE OF THE RED RIVER VALLEY |
| 1701 38th St S, Suite 101, Fargo, ND 58103-4499 | 7013561500 | HOSPICE OF THE RED RIVER VALLEY |
| Organization Legal Name | HOSPICE OF THE RED RIVER VALLEY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed Haris Ali | Internal Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Kayla M Stremick | Nurse Practitioner | Hospice of The Red River Valley | 1415 Madison Ave, Detroit Lakes, MN 56501-4542 |
| Rachel Salberg | Nurse Practitioner | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Tracie M Mallberg | Family Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Tricia J Langlois | Internal Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Street Address |
1701 38TH ST S SUITE 101 |
| City | FARGO |
| State | ND |
| Zip | 58103-4499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed Haris Ali | Internal Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Rachel Salberg | Nurse Practitioner | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Tracie M Mallberg | Family Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Tricia J Langlois | Internal Medicine | Hospice of The Red River Valley | 1701 38th St S, Suite 101, Fargo, ND 58103-4499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Johnson | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Mark G Tufte | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Marcus F Keep | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Behzad S Sabit | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Abdul A Baker | Neurosurgery | Sanford Clinic North | 700 1st Ave S, Fargo, ND 58103-1802 |
| Michael David Manchak | Neurology | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tahereh Keshavarz | Physician Assistant | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tong Yang | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Find all physicians in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FARGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer L Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.