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Amanda Jo Johnson
Family Nurse Practitioner in Sikeston, Missouri
NPI 1891457289

Amanda Jo Johnson is a Family Nurse Practitioner based in Kansas City, MO and is specialized in Family. Amanda Jo Johnson practices in Sikeston, MO. The NPI Number for Amanda Jo Johnson is 1891457289 and holds a License No. 2021010402 (Missouri).

The current practice location address for Amanda Jo Johnson is 1012 N Main St, Sikeston, MO and can be reached out via phone at 573-471-0330 and via fax at 573-471-0461.

Location: 1012 N Main St, Sikeston, MO, 64180-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891457289
Provider Name
Amanda Jo Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1012 N Main St, Sikeston, MO, 64180-1143
Phone Number
573-471-0330
Fax Number
573-471-0461
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1012 N Main St
City
Sikeston
State
Missouri
Zip
63801-5097
Phone Number
573-471-0330
Fax Number
573-471-0461
person
Provider Business Mailing Address Details
Address
1012 N Main St
City
Sikeston
State
Missouri
Zip
63801-5097
Phone Number
573-471-0330
Fax Number
573-471-0461
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2021010402 (Missouri)
Definition
Definition to come...
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