Individual provider · Type 1 NPI
Tanja Johnson, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1447654827
Active
Practice location
11133 Dunn Rd
St. Louis, MO 63136-6163
Mailing address
5 Mccluer Ct
O Fallon, MO 63368-1503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2014036364 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 2014036364 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447654827
Tanja Johnson, FNP's National Provider Identifier is 1447654827, issued on Oct 14, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2021.