Individual
MELISSA K JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-6100
(620) 231-5062
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2011016630
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023036827
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
221007
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-84257-082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289129758
—
AR
05
—
429845902
—
MO
Enumeration date
10/03/2011
Last updated
07/03/2025
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