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Individual

JUDITH M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, BC

Contact information

Practice address
3515 S 4TH ST, LEAVENWORTH, KS 66048-5013
(816) 845-8550
(816) 219-6965
Mailing address
3515 S 4TH ST STE 102, LEAVENWORTH, KS 66048-5079
(816) 845-8550
(816) 219-6965

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0050-02022
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0050-02022
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5379196061
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP3355
AZ

Other

Enumeration date
05/26/2006
Last updated
03/21/2025
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