Individual provider · Type 1 NPI
Kathryn Elsie Johnson, CPNP
Pediatric Nurse Practitioner · Bolivar, MO
NPI number
1003260472
Active
Practice location
1195 N Oakland Ave Ste 2
Bolivar, MO 65613-8025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2017000765 (MO) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1003260472
Kathryn Elsie Johnson, CPNP's National Provider Identifier is 1003260472, issued on Apr 21, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bolivar, MO. The record was last updated on Jan 28, 2026.