Individual provider · NPI-1
Jessica Moertel Johnson, M.D.
Family Medicine · Byron, MN
NPI number1669888905
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1669888905
- Entity type
- Individual (NPI-1)
- Name
- Jessica Moertel Johnson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2014
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 59499 | MN | Yes |
Practice location
846 High Point Dr NeByron, MN 55920-4407
Phone 507-775-2128
Mailing address
846 High Point Dr NeByron, MN 55920-4407
Phone 507-775-2128
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