Johnson, Mary

Johnson, Mary is an individual health care provider with primary practice located at 120 W 16Th St , Mountain Grove MO 65711-1039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Mary can be contacted via phone (417) 926-6111.

Contact Information

Primary practice address
120 W 16Th St Mountain Grove MO 65711-1039
Phone: (417) 926-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019007175 Missouri

Profile Details

NPI number 1407315195
LBN Legal business name Johnson, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2019
Last updated Jan 18th, 2022 - about 2 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.

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