Individual provider · Type 1 NPI
Dayle E. Johnson, FNP
Family Nurse Practitioner · Nixa, MO
NPI number
1629067228
Active
Practice location
105 Ridgecrest
Nixa, MO 65714-7807
Fax (417) 725-8253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2004000194 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629067228
Dayle E. Johnson, FNP's National Provider Identifier is 1629067228, issued on Oct 17, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nixa, MO. The record was last updated on Sep 5, 2007.