| Mrs Wanda Lee Johnson, RN | |
|
4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 | |
| (314) 409-3758 | |
| Not Available |
| Full Name | Mrs Wanda Lee Johnson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 4866 Persimmon Bend Ln, Black Jack, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598160509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 141209 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wanda Lee Johnson, RN 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 Ph: (314) 409-3758 | Mrs Wanda Lee Johnson, RN 4866 Persimmon Bend Ln, Black Jack, MO 63033-4568 Ph: (314) 409-3758 |
Mrs. Charyl M Mitchell, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13170 Old Jamestown Rd, Black Jack, MO 63033 Phone: 314-341-7297 | |
Rochelle Deniece Patterson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5049 Old Jamestown Forest Dr, Black Jack, MO 63033 Phone: 314-753-1820 |