# DR. NELSON EDWIN JOHNSON

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

## Provider details

- **NPI number:** 1508849118
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 35506 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 35506 | MO | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 07/13/2026