Johnson, Wanda Lee

Johnson, Wanda Lee is an individual health care provider with primary practice located at 4866 Persimmon Bend Ln , Black Jack MO 63033-4568. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Wanda Lee can be contacted via phone (314) 409-3758.

Contact Information

Primary practice address
4866 Persimmon Bend Ln Black Jack MO 63033-4568
Phone: (314) 409-3758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 141209 Missouri

Profile Details

NPI number 1598160509
LBN Legal business name Johnson, Wanda Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 12 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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