Johnna Nicco Long, FNP

NPI #1447918800 in Eagle, Colorado

Provider Information

NPI Number
1447918800
Entity Type
Individual
Name
Johnna Nicco Long, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Dec 2, 2021
Last Updated
Dec 2, 2021

Practice Location

Address
101 GREENHORN AVE
City
Eagle
ZIP Code
81631-6040
Phone
(970) 389-7353

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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