Mrs. Icephine Ballard Johnson
NURSE PRACTITIONER | Nurse Practitioner - Adult Health
720 4th Ave S, Saint Cloud
Minnesota, 56301-4442
320-308-4861
Mrs. Icephine Ballard Johnson is a Saint Cloud, Minnesota based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mrs. Icephine Ballard Johnson is R 107237-0 for Adult Health in Minnesota. Her current practice location is 720 4th Ave S, Saint Cloud. Patients can reach her at 320-308-4861 or can fax her at 320-308-3192. Mrs. Icephine Ballard Johnson is NURSE PRACTITIONER with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1568430346.
Mrs. Icephine Ballard Johnson can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mrs. Icephine Ballard Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Icephine Ballard Johnson |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 720 4th Ave S, Saint Cloud,
Minnesota, 56301-4442 |
| Phone: | 320-308-4861 |
| Fax: | 320-308-3192 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568430346 |
| NPI Enumeration Date: | 09 Mar, 2006 |
| NPI Last Update On: | 06 Sep, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Icephine Ballard Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| R 107237-0 | Adult Health | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Icephine Ballard Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 41687554 | Other | Minnesota | EIN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Icephine Ballard Johnson
720 4th Ave S,
Saint Cloud, Minnesota |
| Zip: | 56301-4442 |
| Phone Number: | 320-308-4861 |
| Fax Number: | 320-308-3192 |
Patients can reach Mrs. Icephine Ballard Johnson at
720 4th Ave S, Saint Cloud, Minnesota or can
call to book an appointment on 320-308-4861.
Comments/ Reviews:
Patients can read all the reviews posted for Mrs. Icephine Ballard Johnson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mrs. Icephine Ballard Johnson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.