Marsha Rochelle Johnson, ACNP
Nurse Practitioner in Saint Louis, MO. Individual provider (NPI-1).
NPI number1154595072
StatusActive
Last updated in NPPESFeb 5, 2018
Details
- NPI
- 1154595072
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marsha Rochelle Johnson
- Credential
- ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Feb 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2003020218 | MO | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 2003020218 | MO |
Practice location
400 S Kingshighway BlvdSaint Louis, MO 63110-1014
Phone 314-362-4362 · Fax 314-747-3338
Mailing address
660 S Euclid AveC B 8072
Saint Louis, MO 63110-1010
Phone 314-362-4362 · Fax 314-747-3338
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