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JEWEL JOHNSON
NPI 1336020353
Nurse Practitioner in Maple Grove, MN

Active since September 08, 2025
11555 BOULDER CT, MAPLE GROVE, MN 55311(612) 351-7100 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jewel Johnson NPPES

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

JEWEL JOHNSON (NPI 1336020353) is an individual nurse practitioner in Maple Grove, Minnesota, licensed in Minnesota (12799) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1336020353
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEWEL JOHNSON
Location Address11555 BOULDER CTMaple Grove, MN 55311-7521
Mailing Address11555 Boulder CtMaple Grove, MN 55311-7521
Phone(612) 351-7100
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1336020353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 12799
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11555 BOULDER CT, Maple Grove, MN 55311
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANASSEH HOME HEALTHCARE LLC
Home Health
11555 BOULDER CT
MAPLE GROVE, MN 55311
Hennepin County (612) 351-7100

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 Jewel Johnson's NPI number?

The NPI number for Jewel Johnson is 1336020353. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Jewel Johnson located?

Jewel Johnson practices at 11555 Boulder Ct, Maple Grove, MN 55311. The listed phone number is (612) 351-7100.

What is Jewel Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jewel Johnson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.