Johnston, Melissa K

Johnston, Melissa K is an individual health care provider with primary practice located at 3600 S National Ave , Springfield MO 65807-7311. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnston, Melissa K can be contacted via phone (417) 322-6622.

Contact Information

Primary practice address
3600 S National Ave Springfield MO 65807-7311
Phone: (417) 322-6622
Fax: (417) 350-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2011016630 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 221007 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2011016630 Missouri

Profile Details

NPI number 1700160231
LBN Legal business name Johnston, Melissa K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2011
Last updated Apr 17th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1700160231 NPPES
Missouri MEDICAID 429845902
Missouri MEDICAID 289129758

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