SearchMissouriPediatric Nurse Practitioner

Kathryn Johnson, CPNP

NPI 1003260472 · on the registry since 2016

Practice

Address
1195 N Oakland Ave Ste 2
Bolivar, MO 65613
Phone
(417) 777-2121
Organisation at this address
Citizens Memorial Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri