Individual
STEPHANIE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4066 DUNNICA AVE, SAINT LOUIS, MO 63116-3510
(636) 224-1700
(314) 535-5917
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020010798
MO
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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