Individual
LAUREN RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
Mailing address
1012 N MAIN ST, SIKESTON, MO 63801-5097
(573) 471-0330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023008813
MO
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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