Individual provider · Type 1 NPI
Kody Johnson, FNP
Family Nurse Practitioner · Mountain Grove, MO
NPI number
1710559018
Active
Practice location
1604 C. North Main St
Mountain Grove, MO 65704-6570
Mailing address
PO Box 1359
Ava, MO 65608-1359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021021292 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710559018
Kody Johnson, FNP's National Provider Identifier is 1710559018, issued on Jul 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mountain Grove, MO. The record was last updated on Jul 15, 2021.