Individual provider · NPI-1

Amanda Johnson, APRN-CNP

Nurse Practitioner · Fargo, ND

NPI number1982011979
StatusActive
Last updated in NPPESOct 5, 2026

Details

NPI
1982011979
Entity type
Individual (NPI-1)
Name
Amanda Johnson
Credential
APRN-CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2014
Certification date
Oct 5, 2026
Last updated
Oct 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR34824NDYes
363LP0200X Nurse Practitioner, PediatricsR34824ND
163W00000X Registered NurseR34824ND

Other names

  • Amanda Halverson (Former Name)

Practice location

2701 13th Ave S
Fargo, ND 58103-3602

Phone 701-234-3620

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 701-234-3620

Other practice locations

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-5423

5225 23rd Ave S
Fargo, ND 58104-7927

Phone 701-234-2000

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