DR. JACKIE LYNN JOHNSRUD DC NPI 1164797072

NPI Information

DR. Jackie Lynn Johnsrud, DC is a chiropractor in Williston, ND. The provider is 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. DR. Jackie Lynn Johnsrud, DC NPI is 1164797072. 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:

306 MAIN ST
WILLISTON, ND
ZIP 58801-304
Phone: (701) 580-4912

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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