Individual
CASSANDRA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
1110 HIGHLANDS PLAZA DR E STE 280, SAINT LOUIS, MO 63110-1351
(314) 286-2620
Mailing address
1110 HIGHLANDS PLAZA DR E STE 280, SAINT LOUIS, MO 63110-1351
(314) 286-2620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2018012101
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2018012101
MO
Other
Enumeration date
12/27/2018
Last updated
05/09/2022
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