Individual provider · Type 1 NPI

Kelly Johanson, APRN

Family Nurse Practitioner · St. Louis, MO

NPI number 1881377034 Active

Practice location

650 Maryville University Dr
St. Louis, MO 63141-5849

Mailing address

1304 Franklin Ave
Normal, IL 61761-3558

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.027053 (IL)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1881377034

Kelly Johanson, APRN's National Provider Identifier is 1881377034, issued on Aug 14, 2023. 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 Aug 14, 2023.