| Mrs Icephine Ballard Johnson, NURSE PRACTITIONER | |
|
720 4th Ave S, Saint Cloud, MN 56301-4442 | |
| (320) 308-4861 | |
| (320) 308-3192 |
| Full Name | Mrs Icephine Ballard Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 720 4th Ave S, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568430346 | NPI | - | NPPES |
| 41687554 | Other | MN | EIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R 107237-0 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Icephine Ballard Johnson, NURSE PRACTITIONER 720 4th Ave S, Saint Cloud, MN 56301-4442 Ph: (320) 308-4861 | Mrs Icephine Ballard Johnson, NURSE PRACTITIONER 720 4th Ave S, Saint Cloud, MN 56301-4442 Ph: (320) 308-4861 |
Angela Dorothy Moscho, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6378 | |
Mandy Fay Krippner, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Lindsey Beckman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 701-373-1826 | |
Kristen J Heffern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 Fax: 320-257-1733 | |
Naomi Maangi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 25th Ave N, Saint Cloud, MN 56303 Phone: 320-202-1909 | |
Jessica Hollenkamp, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Rebecca Kastanek, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303 Phone: 320-255-5740 Fax: 320-656-7155 |