Individual provider · Type 1 NPI

Jessica L. Johnson

Nurse Practitioner · Rolla, MO

NPI number 1174449128 Active

Practice location

603 S Bishop Ave
Rolla, MO 65401-4320

Call (573) 426-4411 Map

Fax (573) 426-4403

Mailing address

1050 W 10th St
Rolla, MO 65401-2905

Other practice locations

1000 Gw Ln, Waynesville, MO 65583-2339 · (573) 842-4116

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2026028820 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

9 other providers at this address

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About NPI 1174449128

Jessica L. Johnson's National Provider Identifier is 1174449128, issued on Jun 25, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rolla, MO. The record was last updated on Jul 13, 2026.