SearchMissouri163W00000X

Wanda Johnson, RN

NPI 1598160509 · on the registry since 2014

Practice

Address
4866 Persimmon Bend Ln
Black Jack, MO 63033
Phone
(314) 409-3758

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-03

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