Johnson, Melissa D

Johnson, Melissa D is an individual health care provider with primary practice located at 1965 S Fremont Ave Ste 370 , Springfield MO 65804-2284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Melissa D can be contacted via phone (417) 820-0300.

Contact Information

Primary practice address
1965 S Fremont Ave Ste 370 Springfield MO 65804-2284
Phone: (417) 820-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2017033363 Missouri

Profile Details

NPI number 1710231139
LBN Legal business name Johnson, Melissa D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Apr 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710231139 NPPES
Missouri MEDICAID 1710231139

Popular Providers