Individual provider · Type 1 NPI
Tammy Evette Johnson
Case Management Registered Nurse · St. Louis, MO
NPI number
1639932841
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Fax (314) 289-6595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 135412 (MO) |
Case Management Registered Nurse: Definition to come...
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About NPI 1639932841
Tammy Evette Johnson's National Provider Identifier is 1639932841, issued on Jan 31, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 31, 2024.