person
Ms. Elizabeth Jane Johns, ACNP
Gerontology Nurse Practitioner in Belleville, Illinois
NPI 1164832705

Elizabeth Jane Johns is a Gerontology Nurse Practitioner based in Saint Louis, IL and is specialized in Gerontology. Elizabeth Jane Johns practices in Belleville, IL and has the professional credentials of ACNP. The NPI Number for Elizabeth Jane Johns is 1164832705 and holds a License No. 209011512 (Illinois).

The current practice location address for Elizabeth Jane Johns is 4500 Memorial Dr, Belleville, IL and can be reached out via phone at 800-647-2098 and via fax at 314-362-3192. You can also correspond with Elizabeth Jane Johns through the mailing address at 660 S EUCLID AVE, SAINT LOUIS, MO - 63110-1010 (mailing address contact number: 618-607-1340).

Location: 4500 Memorial Dr, Belleville, IL, 63110-1010
person
Provider Profile Details
NPI Number
1164832705
Provider Name
Elizabeth Jane Johns
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
4500 Memorial Dr, Belleville, IL, 63110-1010
Phone Number
800-647-2098
Fax Number
314-362-3192
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420066535 05 MO
institution
Provider Business Practice Location Address Details
Address
4500 Memorial Dr
City
State
Zip
62226-5360
Phone Number
800-647-2098
Fax Number
314-362-3192
person
Provider Business Mailing Address Details
Address
660 S Euclid Ave
City
State
Zip
63110-1010
Phone Number
618-607-1340
Fax Number
618-622-9724
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209011512 (Illinois)
Definition
Definition to come...
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