Individual
MRS. LESLIE RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
204 N. MAIN, ST. JOSEPH, IL 61873-8431
(217) 469-2232
(217) 469-2381
Mailing address
1702 LOCUST DR, SAINT JOSEPH, IL 61873-8431
(217) 637-3782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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