Individual
MRS. JESSICA LAUREN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12345 W BEND DR STE 200, SAINT LOUIS, MO 63128-2253
(314) 843-8000
Mailing address
12345 W BEND DR STE 200, SAINT LOUIS, MO 63128-2253
(314) 843-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015018042
MO
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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