Healthcare Provider Details

I. General information

NPI: 1053268441
Provider Name (Legal Business Name): CLEAR SKY WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27345 COUNTY HIGHWAY 34
CALLAWAY MN
56521
US

IV. Provider business mailing address

912 MCKINLEY AVE # 311
DETROIT LAKES MN
56501-3504
US

V. Phone/Fax

Practice location:
  • Phone: 218-845-3535
  • Fax: 218-210-9420
Mailing address:
  • Phone: 218-845-3535
  • Fax: 218-210-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHANNA NELLIE CHRISTENSEN
Title or Position: OWNER
Credential: DNP
Phone: 218-845-3535