Nikolene Johnson

NPI #1104363993 in Wausau, Wisconsin

Provider Information

NPI Number: 1104363993
Entity Type: Individual
Name: Nikolene Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 31, 2017
Last Updated: Nov 5, 2024

Practice Location

Address: 512 S 28TH AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-4147
Phone: (715) 847-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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