person
Tawanta L Johnson, ANP
Family Nurse Practitioner in Florissant, Missouri
NPI 1881036432

Tawanta L Johnson is a Family Nurse Practitioner based in Florissant, MO and is specialized in Family. Tawanta L Johnson practices in Florissant, MO and has the professional credentials of ANP. The NPI Number for Tawanta L Johnson is 1881036432 and holds a License No. 209.010465 (Missouri).

The current practice location address for Tawanta L Johnson is 3957 Albers Pointe Dr, Florissant, MO and can be reached out via phone at 314-952-0931.

Location: 3957 Albers Pointe Dr, Florissant, MO, 63034-1051
person
Provider Profile Details
NPI Number
1881036432
Provider Name
Tawanta L Johnson
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
3957 Albers Pointe Dr, Florissant, MO, 63034-1051
Phone Number
314-952-0931
Fax Number
Provider Enumeration Date
07/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3957 Albers Pointe Dr
City
State
Zip
63034
Phone Number
314-952-0931
Fax Number
person
Provider Business Mailing Address Details
Address
3957 Albers Pointe Dr
City
State
Zip
63034
Phone Number
314-952-0931
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2012039515 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.010465 (Illinois)
Definition
Definition to come...
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