Johnson, Tawanta L

Johnson, Tawanta L is an sole proprietor health care provider with primary practice located at 3957 Albers Pointe Dr , Florissant MO 63034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Tawanta L can be contacted via phone (314) 952-0931.

Contact Information

Primary practice address
3957 Albers Pointe Dr Florissant MO 63034
Phone: (314) 952-0931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.010465 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2012039515 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015019142 Missouri

Profile Details

NPI number 1881036432
LBN Legal business name Johnson, Tawanta L
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2013
Last updated Feb 14th, 2017 - about 8 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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