Individual
TAMICA TITANYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 WORNALL RD, KANSAS CITY, MO 64145-1117
(816) 941-1000
Mailing address
12000 WORNALL RD, KANSAS CITY, MO 64145-1117
(816) 213-7539
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2021043562
MO
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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