Individual
CARRIE JO JOHANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3485
(314) 434-1500
Mailing address
19 MILLBROOK LN, KIRKWOOD, MO 63122-5202
(763) 227-8527
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2012011626
MO
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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