Individual
JANICE RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 827-9474
(660) 829-6618
Mailing address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 827-9474
(660) 829-6618
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-42147
MO
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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