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Tyla Aliece Johnson, FNP-C
Family Nurse Practitioner in Bridgeton, Missouri
NPI 1457842213

Tyla Aliece Johnson is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Tyla Aliece Johnson practices in Bridgeton, MO and has the professional credentials of FNP-C. The NPI Number for Tyla Aliece Johnson is 1457842213 and holds a License No. 2018004082 (Missouri).

The current practice location address for Tyla Aliece Johnson is 12255 De Paul Dr Ste 600, Bridgeton, MO and can be reached out via phone at 314-209-5100.

Location: 12255 De Paul Dr Ste 600, Bridgeton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457842213
Provider Name
Tyla Aliece Johnson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
12255 De Paul Dr Ste 600, Bridgeton, MO, 63195-5534
Phone Number
314-209-5100
Fax Number
Provider Enumeration Date
05/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12255 De Paul Dr Ste 600
City
Bridgeton
State
Missouri
Zip
63044-2515
Phone Number
314-209-5100
Fax Number
person
Provider Business Mailing Address Details
Address
12255 De Paul Dr Ste 600
City
Bridgeton
State
Missouri
Zip
63044-2515
Phone Number
314-209-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2018004082 (Missouri)
Definition
Definition to come...
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