Johnson, Marsha Rochelle
Johnson, Marsha Rochelle is an individual health care provider with primary practice located at 400 S Kingshighway Blvd , Saint Louis MO 63110-1014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Marsha Rochelle can be contacted via phone (314) 362-4362.Contact Information
Primary practice address
400 S Kingshighway Blvd
Saint Louis MO 63110-1014
Phone: (314) 362-4362
Fax: (314) 747-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2003020218 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2003020218 | Missouri |
Profile Details
| NPI number | 1154595072 |
|---|---|
| LBN Legal business name | Johnson, Marsha Rochelle |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Feb 5th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154595072 | NPPES |
| Illinois | MEDICAID | ENROLLED | |
| Illinois | MEDICAID | 1154595072 |
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