IndividualActive
Tammy Johnson
NPI 1639932841 · Case Management Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1639932841
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 135412 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Fax: (314) 289-6595
Approximate (ZIP-level) locationGet directions
Mailing address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Registry dates
- Enumerated
- 2024-01-31
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.