Individual
DANA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 UNION AVE STE A&B, MOBERLY, MO 65270-9469
(660) 263-9095
(660) 263-0054
Mailing address
1501 UNION AVE STE A&B, MOBERLY, MO 65270-9469
(660) 263-9095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015000816
MO
Other
Enumeration date
08/13/2019
Last updated
08/31/2020
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