IndividualActive
Marissa Johnson
NPI 1336091503 · Psychiatric/Mental Health Registered Nurse · Brooklyn Park, MN
Provider details
- NPI number
- 1336091503
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2226565 (MN)
Mailing address
5500 94th Ave N
Brooklyn Park, MN 55443-1992
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.