# SANDRA BELLE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306678248
- **Gender:** F
- **Credential:** CRNP, ACNP-AG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 2020002403 | MO | — |
| 163WF0300X | Flight Registered Nurse | 2020002403 | MO | — |
| 163WG0600X | Gerontology Registered Nurse | 2020002403 | MO | — |
| 363LA2100X | Acute Care Nurse Practitioner | 1-203300 | AL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 2000571341 | MO | — |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 06/17/2026
