Most Relevant Information
Provider Data
| NPI Number: | 1003216888 |
| Provider Name: | EMILY NICOLE JOHNSON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 111676 |
Most Important Dates
| Enumeration Date: | 08/28/2014 |
| Last Updated: | 09/08/2014 |
Provider Practice Location
750 E 29TH ST
FREMONT
NE
680252384
Practice Location Phone/Fax
| Phone: | 4027532900 |
| Fax: |
Provider Mailing Location
750 E 29TH ST
FREMONT
NE
680252384
Provider Mailing Phone/Fax
| Phone: | 4027532900 |
| Fax: |