Individual
CARLA DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1005 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 874-7356
(573) 874-7758
Mailing address
1005 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 874-7356
(573) 874-7758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105609
MO
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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