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

Jennifer Joray Johnson

Individual provider Family Nurse Practitioner · NPI 1811734304

Jennifer Joray Johnson is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2024, 2 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
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Practice location Address checks out

2945 Hazelwood St
Maplewood, MN 55109-1241
Phone: (651) 232-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11754 (MN)

Record details

NPI number1811734304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJune 17, 2024
Mailing address6269 Dallas Ct N, Maple Grove, MN 55311-4242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maplewood