Mary Johnson, NP
NPI #1407315195 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1407315195
- Entity Type
- Individual
- Name
- Mary Johnson, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Mar 13, 2019
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- 120 W 16TH ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1039
- Phone
- (417) 926-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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