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

Elgin Bruce Johns Jr., SPNPHYSICIANEXTEND

Individual provider Licensed Practical Nurse · NPI 1407910029

Elgin Bruce Johns Jr., SPNPHYSICIANEXTEND is a Licensed Practical Nurse in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

101 Willmar Ave SW Affiliated Community Medical Centers
Willmar, MN 56201
Phone: (320) 231-5000
Fax: (320) 231-5067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L0354989 (MN)

Record details

NPI number1407910029
Entity typeIndividual (Type 1)
GenderMale
Credentials SPNPHYSICIANEXTEND
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 8, 2007

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