MRS. Icephine Ballard Johnson, NURSE PRACTITIONER is an adult health nurse practitioner in Saint Cloud, MN. MRS. Icephine Ballard Johnson, NURSE PRACTITIONER NPI is 1568430346. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
720 4TH AVE S
SAINT CLOUD, MN
ZIP 56301-442
Phone: (320) 308-4861
Fax: (320) 308-3192
The enumeration date for this NPI number is 3/9/2006 and was last updated on 9/6/2023.