Jheri Renee Johnson
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1679477459
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1679477459
- Entity type
- Individual (NPI-1)
- Name
- Jheri Renee Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2026
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209036951 | IL | Yes |
Practice location
650 Maryville University DrSaint Louis, MO 63141-5849
Phone 314-529-9300
Mailing address
650 Maryville University DrSaint Louis, MO 63141-5849
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