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

Jerald Johnson

Individual provider Medical Laboratory Technician · NPI 1669856225

Jerald Johnson is a Medical Laboratory Technician in Fargo, North Dakota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
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Practice location Address checks out

1618 E Gateway Cir S Apt 301
Fargo, ND 58103-3657
Phone: (612) 384-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Laboratory Technician (primary) Taxonomy 246RM2200X · Licence 04200308 (MN)

Record details

NPI number1669856225
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2015
Last updated in NPPESJuly 14, 2015
Mailing address1618 E Gateway Cir S, Apt 301, Fargo, ND 58103-3657

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