person
Kody Johnson, FNP
Family Nurse Practitioner in Mountain Grove, Missouri
NPI 1710559018

Kody Johnson is a Family Nurse Practitioner based in Ava, MO and is specialized in Family. Kody Johnson practices in Mountain Grove, MO and has the professional credentials of FNP. The NPI Number for Kody Johnson is 1710559018 and holds a License No. 2021021292 (Missouri).

The current practice location address for Kody Johnson is 1604 C. North Main St, Mountain Grove, MO and can be reached out via phone at 417-926-1713.

Location: 1604 C. North Main St, Mountain Grove, MO, 65608-1359
person
Provider Profile Details
NPI Number
1710559018
Provider Name
Kody Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1604 C. North Main St, Mountain Grove, MO, 65608-1359
Phone Number
417-926-1713
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1604 C. North Main St
City
State
Zip
65704-6570
Phone Number
417-926-1713
Fax Number
person
Provider Business Mailing Address Details
Address
1604 C. North Main St
City
State
Zip
65704-6570
Phone Number
417-926-1713
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2021021292 (Missouri)
Definition
Definition to come...
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