Mrs. Icephine Ballard Johnson, NURSEPRACTITIONER
Mrs. Icephine Ballard Johnson, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
720 4th Ave SSaint Cloud, MN 56301-4442
Phone: (320) 308-4861
Fax: (320) 308-3192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence R 107237-0 (MN) |
|---|
Record details
| NPI number | 1568430346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | March 9, 2006 |
| Last updated in NPPES | July 13, 2026 |
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