Individual
LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 STATE HIGHWAY 248 STE 200, BRANSON, MO 65616-3721
(417) 335-2299
(417) 335-3669
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017040109
MO
Other
Enumeration date
11/10/2017
Last updated
01/20/2023
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