Individual
JAMES JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 520, SPRINGFIELD, MO 65807-5154
(417) 269-4550
Mailing address
1000 E PRIMROSE ST, SUITE 520, SPRINGFIELD, MO 65807-5154
(417) 269-4550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
074650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910898402
—
MO
Enumeration date
08/08/2006
Last updated
07/07/2022
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