Ms Lorilea Johnson, APRN | |
2432 E Main St, Jackson, MO 63755-2487 | |
(573) 755-2305 | |
(573) 519-4650 |
Full Name | Ms Lorilea Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2432 E Main St, Jackson, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205050010 | NPI | - | NPPES |
111020 | Other | MO | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 111020 (Missouri) | Primary |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Mailing Address | Practice Location Address |
---|---|
Ms Lorilea Johnson, APRN 2432 E Main St, Jackson, MO 63755-2487 Ph: (573) 755-2305 | Ms Lorilea Johnson, APRN 2432 E Main St, Jackson, MO 63755-2487 Ph: (573) 755-2305 |
John Franklin Niswonger, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 861 Canyon Trl, Jackson, MO 63755 Phone: 573-837-2390 | |
Mary Linda Byndom, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2130 Jackson Ave, Jackson, MO 63755 Phone: 573-243-2154 Fax: 573-243-3400 | |
Danielle Nicole Heath, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 424 Cedar Meadows Dr, Jackson, MO 63755 Phone: 618-499-2289 | |
Rachael Daume, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 E Main St, Jackson, MO 63755 Phone: 573-755-2310 | |
Crystal Ann Wekenborg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 | |
Chelsea Ann Bucher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-3115 Fax: 573-243-4700 |