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

Jewel Johnson

Individual provider Nurse Practitioner · NPI 1336020353

Jewel Johnson is a Nurse Practitioner in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

11555 Boulder Ct
Maple Grove, MN 55311-7521
Phone: (612) 351-7100
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12799 (MN)

Record details

NPI number1336020353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address11555 Boulder Ct, Maple Grove, MN 55311-7521

Other providers in Maple Grove