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

Jaclyn Johnson

Individual provider Registered Nurse · NPI 1063229250

Jaclyn Johnson is a Registered Nurse in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2024.

Licensed in
ND
In the registry since
2024

Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 232-3241
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R40304 (ND)

Record details

NPI number1063229250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address2008 Rose Creek Blvd S, Fargo, ND 58104-6877

Other providers in Fargo