MEDICARE: ERMA RUTH JOHNMEYER FNP-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
1	363LF0000X	Family Nurse Practitioner	093272	MO

General Provider Information

NPI Number	:	1033268768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERMA RUTH JOHNMEYER FNP-C

Provider Business Mailing Address
First Line	:	910 N COLLEGE AVE STE 4
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4797
Country	:	US
Telephone Number	:	636-642-1215
Fax Number	:	573-234-4799

Provider Business Practice Location Address
First Line	:	1501 UNION AVE
Second Line	:
City	:	MOBERLY
State	:	MO
Zip	:	65270-9469
Country	:	US
Telephone Number	:	660-263-4770
Fax Number	:	660-263-2228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	03/20/2026

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