Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackie Lynn Johnsrud, DC

Individual provider Chiropractor · NPI 1164797072

Dr. Jackie Lynn Johnsrud, DC is a Chiropractor in Williston, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

306 Main St
Williston, ND 58801-5304
Phone: (701) 580-4912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 865 (ND)

Record details

NPI number1164797072
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 12, 2012
Last updated in NPPESMarch 12, 2012

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