Individual
MRS. NANCY GALE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
Mailing address
3750 HIGHWAY Z, HILLSBORO, MO 63050-3713
(314) 605-0032
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2011037507
MO
Other
Enumeration date
08/24/2021
Last updated
01/08/2024
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