| Doctor Name: | BRENDA MAE JOHNSON |
| NPI Number: | 1578539599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 110710 |
| Business Practice Address: | East Hwy 18 Pine Ridge, SD - 57770 |
| Business Phone Number: | 6058675131 |
| Business Fax Number: | |
| Mailing Address: | Po Box 293, HAY SPRINGS |
| State: | NE |
| Postal Code: | 693470293 |
| Phone Number: | 6058675131 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 110710 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |