Individual
SHANICE MOSLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN-FNP-C
Contact information
Practice address
1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
(515) 505-2937
Mailing address
1260 AMAZING PL NW, ALTOONA, IA 50009-1059
(515) 505-2937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A168896
IA
363LP2300X
Primary Care Nurse Practitioner
A168896
IA
Other
Enumeration date
05/23/2022
Last updated
12/23/2022
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