Individual provider · Type 1 NPI

Kellie Jean Johnson, NP-C

Nurse Practitioner · Nixa, MO

NPI number 1891668679 Active

Practice location

1673 W Country Rd
Nixa, MO 65714-7971

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2025026813 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891668679

Kellie Jean Johnson, NP-C's National Provider Identifier is 1891668679, issued on Sep 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Nixa, MO. The record was last updated on Sep 26, 2025.