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Mary I Johnson, APRN
Nurse Practitioner in Columbia, Missouri
NPI 1679510309

Mary I Johnson is a Nurse Practitioner based in Columbia, MO. Mary I Johnson practices in Columbia, MO and has the professional credentials of APRN. The NPI Number for Mary I Johnson is 1679510309 and holds a License No. 048830 (Missouri).

The current practice location address for Mary I Johnson is 115 Business Loop 70 W, Columbia, MO and can be reached out via phone at 573-882-4979 and via fax at 573-884-6050.

Location: 115 Business Loop 70 W, Columbia, MO, 65205-7687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679510309
Provider Name
Mary I Johnson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
115 Business Loop 70 W, Columbia, MO, 65205-7687
Phone Number
573-882-4979
Fax Number
573-884-6050
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101660 01 MO HEALTHLINK
143538 01 MO BLUE SHIELD/BLUE CHOICE
425336609 05 MO
institution
Provider Business Practice Location Address Details
Address
115 Business Loop 70 W
City
Columbia
State
Missouri
Zip
65203-3244
Phone Number
573-882-4979
Fax Number
573-884-6050
person
Provider Business Mailing Address Details
Address
115 Business Loop 70 W
City
Columbia
State
Missouri
Zip
65203-3244
Phone Number
573-882-4979
Fax Number
573-884-6050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
048830 (Missouri)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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