IndividualActive
Kelley Johnson, RN, CPNP
NPI 1942540745 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Saint Louis, MO
Provider details
- NPI number
- 1942540745
- Entity type
- Individual
- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2006006547 (MO)
Practice location
621 S New Ballas Rd Ste 693a
Saint Louis, MO 63141-8263
Phone: (314) 251-6898
Fax: (314) 251-4197
Mailing address
621 S New Ballas Rd Ste 693a
Saint Louis, MO 63141-8263
Registry dates
- Enumerated
- 2013-02-15
- Last updated
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.