Individual
SONDA RENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3909A N BELT W, BELLEVILLE, IL 62226-5607
(618) 746-1142
(618) 737-0080
Mailing address
3909A N BELT W, BELLEVILLE, IL 62226-5607
(618) 746-1142
(618) 737-0080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.015355
IL
Other
Enumeration date
06/13/2017
Last updated
12/04/2024
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