Individual provider · Type 1 NPI
Paige Johnson, CRNP
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1366516841
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Fax (816) 855-1726
Mailing address
1015 NW High Point Dr
Lees Summit, MO 64081-1992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R155784 (MD) |
| Pediatric Nurse Practitioner | 363LP0200X | 53-75070-012 (KS) |
| Adult Health Nurse Practitioner | 363LA2200X | 53-75070-012 (KS) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2009037134 (MO) |
| Adult Health Nurse Practitioner | 363LA2200X | 2009037134 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366516841
Paige Johnson, CRNP's National Provider Identifier is 1366516841, issued on Nov 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Nov 28, 2012.