Individual
JANA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-5359
(417) 881-8649
(417) 881-8765
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
2002004772
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225270952
—
MO
01
—
2002004772
FNP LICENSE
MO
Enumeration date
03/26/2009
Last updated
02/07/2019
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