| Doctor Name: | MRS. VONNIE JEAN JOHNSON |
| NPI Number: | 1124279633 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R14983 |
| Business Practice Address: | 615 6th St Se Stanley, ND - 587844444 |
| Business Phone Number: | 7016282505 |
| Business Fax Number: | 7016283274 |
| Mailing Address: | 12041 40th St Nw, WATFORD CITY |
| State: | ND |
| Postal Code: | 588549676 |
| Phone Number: | 7018422055 |
| Fax Number: | 7018422433 |
| NPI Enumeration Date: | 10/02/2008 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R14983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |