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NPI Code Detail

MEDICARE: ALISON JOHNSON RN, BSN, MSN, NP-C

MEDICARE:   ALISON  JOHNSON  RN, BSN, MSN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2017003903MO

General Provider Information

NPI Number : 1346788247
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON JOHNSON RN, BSN, MSN, NP-C
Provider Business Mailing Address
First Line : 12801 E 53RD TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-3169
Country : US
Telephone Number : 816-406-8188
Fax Number :
Provider Business Practice Location Address
First Line : 1950 DIAMOND PKWY
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-4328
Country : US
Telephone Number : 816-561-3003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 01/24/2022

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