Individual
MRS. NICOLE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-NIC, NNP-BC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(402) 327-9262
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(402) 327-9262
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2010030335
MO
Other
Enumeration date
01/28/2011
Last updated
05/28/2015
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