Individual provider · Type 1 NPI

Amanda Jo Johnson

Family Nurse Practitioner · Sikeston, MO

NPI number 1891457289 Active

Practice location

1012 N Main St
Sikeston, MO 63801-5097

Fax (573) 471-0461

Mailing address

PO Box 801143
Kansas City, MO 64180-1143

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2021010402 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1891457289

Amanda Jo Johnson's National Provider Identifier is 1891457289, issued on Oct 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sikeston, MO. The record was last updated on Apr 28, 2022.