MRS. SANDY D JOHNS


Address: 2210 Barron Rd Ste 206, Poplar Bluff, MO 63901-1908
Phone: 5737727000

MRS. SANDY D JOHNS (NPI# 1578908091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578908091
Entity Type Individual
Full Name MRS. SANDY D JOHNS
Other Name SANDY D SILKWOOD
Credential WHNP-BC
Practice Address 2210 Barron Rd Ste 206
Poplar Bluff
MO 63901-1908
Mailing Address 2340 Katy Ln
Poplar Bluff
MO 63901-2300
Practice Telephone 5737727000
Practice Fax Number 5736861315
Mailing Telephone 5737767393
Mailing Fax Number 5737767396
Enumeration Date 2013-05-10
Last Update Date 2019-01-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
2013005510 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2210 BARRON RD STE 206
City POPLAR BLUFF
State MO
Zip Code 63901-1908

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City POPLAR BLUFF
Zip Code 63901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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