Kody Johnson, FNP
NPI #1710559018 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1710559018
- Entity Type
- Individual
- Name
- Kody Johnson, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 1604 C. NORTH MAIN ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65704-6570
- Phone
- (417) 926-1713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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