1. Home
  2. Directory
  3. North Dakota
  4. Williston
  5. Chiropractor
  6. NPI Profile

DR. JACKIE LYNN JOHNSRUD DC
NPI 1164797072
Chiropractor in Williston, ND

Active since March 12, 2012
306 MAIN ST, WILLISTON, ND 58801(701) 580-4912 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jackie Lynn Johnsrud Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKIE LYNN JOHNSRUD DC (NPI 1164797072) is an individual chiropractor in Williston, North Dakota, licensed in North Dakota (865) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1164797072
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACKIE LYNN JOHNSRUDCredential: DC
Location Address306 MAIN STWilliston, ND 58801-5304
Mailing AddressPo Box 81Epping, ND 58843-0081 · (701) 570-0119
Phone(701) 580-4912
Sole ProprietorYes
Enumeration DateMarch 12, 2012
✔ NPI 1164797072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 865
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
306 MAIN ST, Williston, ND 58801
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Johnsrud's NPI number?

The NPI number for Jackie Johnsrud is 1164797072. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Jackie Johnsrud located?

Jackie Johnsrud practices at 306 Main St, Williston, ND 58801. The listed phone number is (701) 580-4912.

What is Jackie Johnsrud's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jackie Johnsrud was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.