Individual
MRS. DAWN MARIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 N MAIN ST, O FALLON, MO 63366-1746
(314) 687-2731
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015001943
MO
363LF0000X
Family Nurse Practitioner
2015001943
MO
Other
Enumeration date
01/27/2015
Last updated
10/23/2020
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