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Individual

PAIGE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3265
(816) 855-1726
Mailing address
1015 NW HIGH POINT DR, LEES SUMMIT, MO 64081-1992

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2009037134
MO
363LA2200X
Adult Health Nurse Practitioner
53-75070-012
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
2009037134
MO
363LP0200X
Pediatric Nurse Practitioner
53-75070-012
KS
363LP0200X
Pediatric Nurse Practitioner
R155784
MD

Other

Enumeration date
11/17/2006
Last updated
11/28/2012
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