Individual
DANIEL L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
441 W ELM ST STE A, LEBANON, MO 65536-3573
(417) 532-2805
(417) 532-2848
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424962306
—
MO
Enumeration date
11/13/2006
Last updated
11/20/2018
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