Individual
VALERIE LATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
Mailing address
4677 TENNESSEE AVE, SAINT LOUIS, MO 63111-1437
(314) 556-9335
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2017035712
MO
Other
Enumeration date
01/29/2018
Last updated
02/17/2025
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