Carla Denise Johnson FNP-BC

NPI 1578830451 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1578830451
Gender Female
Enumeration Date 11/21/2011
Last Updated 11/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1005 W WORLEY ST
COLUMBIA MO, 65203-2037, US
Phone (573) 874-7356
Fax (573) 874-7758
Business Location
1005 W WORLEY ST
COLUMBIA MO, 65203-2037, US
Phone (573) 874-7356
Fax (573) 874-7758
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 105609
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According to our database, Carla Denise Johnson FNP-BC NPI is 1578830451, taxonomy code is 363LF0000X and license number is 105609, license state is located at Missouri. Carla Denise Johnson FNP-BC physically located at 1005 W Worley St, Columbia MO, 65203-2037. NPI Number Carla Denise Johnson FNP-BC has the Individual type.

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1578830451 NPI number is provided on an as is basis without warranty of any kind. 1578830451 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Denise Johnson FNP-BC are for informational purposes only.