NPI 1578550992

Mary Jo Johnson, CNMCNP

Practitioner Advanced Practice Midwife Edina, MN

Practice location

Address: 3625 W 65th St STE 100, Edina, MN 55435-2147
Phone: (952) 920-7001
Mailing address: 15014 Bridgewater Dr, Savage, MN 55378-5618

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence R123626-8 (MN)

Other Advanced Practice Midwife providers in Minnesota →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence R123626-8 (MN)

Other Nurse Practitioner providers in Minnesota →

Registry record

NPI: 1578550992
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2005
Record last updated: 12 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.