Individual
MRS. KELLEY ERIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
621 S NEW BALLAS RD STE 693A, SAINT LOUIS, MO 63141-8263
(314) 251-6898
(314) 251-4197
Mailing address
621 S NEW BALLAS RD STE 693A, SAINT LOUIS, MO 63141-8263
(314) 251-6898
(314) 251-4197
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2006006547
MO
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2012041691
MO
Other
Enumeration date
02/15/2013
Last updated
10/19/2022
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