Individual
ROBERT HOWARD JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506
(816) 271-7273
(816) 271-7376
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-7273
(816) 271-7376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2018012958
MO
363LF0000X
Family Nurse Practitioner
23819
CA
363LF0000X
Family Nurse Practitioner
Primary
RN081322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23819
NURSE PRACTITIONER LICENSE
CA
01
—
RN081322
NURSE PRACTITIONER LICENSE
GA
Enumeration date
10/16/2013
Last updated
11/08/2019
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