Individual
NEISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE, HEALTH CARE P
Contact information
Practice address
11132 E 84TH TER, RAYTOWN, MO 64138-3646
(816) 602-7886
Mailing address
11132 E 84TH TER, RAYTOWN, MO 64138-3646
(816) 602-7886
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P203240023
—
MO
Enumeration date
06/30/2022
Last updated
06/30/2022
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