Wanda Lee Johnson, RN
Registered Nurse · Black Jack, MO
Practice location
4866 Persimmon Bend LnBlack Jack, MO 63033-4568
- Phone
- (314) 409-3758
NPI record
- NPI
- 1598160509
- Entity type
- Individual (Type 1)
- Enumeration date
- November 3, 2014
- Last updated
- November 3, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X |
141209 | MO |
About Wanda Johnson
Wanda Lee Johnson, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568. The NPI number 1598160509 was assigned on November 3, 2014 and the record was last updated on November 3, 2014.
Wanda Johnson lists a license in the registry: #141209 (MO) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Wanda Lee Johnson, RN?
The NPI number is 1598160509.
What is the phone number of Wanda Johnson?
The phone number listed for the practice location is (314) 409-3758.
Where is Wanda Johnson located?
4866 Persimmon Bend Ln, Black Jack, MO 63033-4568.
What is the taxonomy code for Wanda Johnson?
The primary taxonomy code is 163W00000X – Registered Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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