person
Mr. Walter L Johnston
Family Nurse Practitioner in Sikeston, Missouri
NPI 1215163498

Walter L Johnston is a Family Nurse Practitioner based in Sikeston, MO and is specialized in Family. Walter L Johnston practices in Sikeston, MO. The NPI Number for Walter L Johnston is 1215163498 and holds a License No. 2002018631 (Missouri).

The current practice location address for Walter L Johnston is 1008 N Main St, Sikeston, MO and can be reached out via phone at 573-472-6003 and via fax at 573-472-6006.

Location: 1008 N Main St, Sikeston, MO, 63801-5044
person
Provider Profile Details
NPI Number
1215163498
Provider Name
Walter L Johnston
Credential
Provider Entity Type
Individual
Gender
Male
Address
1008 N Main St, Sikeston, MO, 63801-5044
Phone Number
573-472-6003
Fax Number
573-472-6006
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215163498 05 MO
A03110 01 MO HEALTHLINK
177521 01 MO HEALTH ALLIANCE
1215163498 05 IL
1215163498 01 MO TRIWEST
institution
Provider Business Practice Location Address Details
Address
1008 N Main St
City
State
Zip
63801-5044
Phone Number
573-472-6003
Fax Number
573-472-6006
person
Provider Business Mailing Address Details
Address
1008 N Main St
City
State
Zip
63801-5044
Phone Number
573-472-6003
Fax Number
573-472-6006
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2002018631 (Missouri)
Definition
Definition to come...
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