Nicole Jackie Johnson-chavez, is a
Nurse Practitioner - Psychiatric/mental Health based in Saint Peter, Minnesota. Nicole Jackie Johnson-chavez is licensed to practice in Minnesota (license number 6497) and her current practice location is
100 Freeman Dr, Saint Peter, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 985-2000.
NPI number for Nicole Jackie Johnson-chavez is 1376889014 and her current mailing address is 100 Freeman Dr, Saint Peter, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376889014.
Healthcare Provider's Profile
Full Name | Nicole Jackie Johnson-chavez |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 100 Freeman Dr, Saint Peter, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376889014
- Provider Enumeration Date: 12/28/2012
- Last Update Date: 03/30/2019
Medical Identifiers
Medical identifiers for Nicole Jackie Johnson-chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376889014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6497 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Jackie Johnson-chavez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Jackie Johnson-chavez, 100 Freeman Dr, Saint Peter, MN 56082-3504 Ph: (507) 985-2000 | Nicole Jackie Johnson-chavez, 100 Freeman Dr, Saint Peter, MN 56082-3504 Ph: (507) 985-2000 |
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