Individual provider · Type 1 NPI
Amanda Johnson, AGACNP
Acute Care Nurse Practitioner · Chesterfield, MO
NPI number
1245052117
Active
Practice location
232 S Woods Mill Rd
Chesterfield, MO 63017-3485
Mailing address
1065 Timberline Dr
Fenton, MO 63026-4557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2024013896 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245052117
Amanda Johnson, AGACNP's National Provider Identifier is 1245052117, issued on Oct 30, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chesterfield, MO. The record was last updated on Oct 30, 2024.