Nurse Practitioner, Pediatrics
KATHRYN JOHNSON CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1003260472 · enumerated 2016-04-21 · record updated 2026-01-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1195 N OAKLAND AVE STE 2, BOLIVAR, MO, 65613-8025 (417) 777-2121 Google Maps Apple Maps OpenStreetMap
- Mailing address 1195 N OAKLAND AVE STE 2, BOLIVAR, MO, 65613-8025 (417) 777-2121 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2017000765 MO
In this directory
Locations and evidence
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Practice location
BOLIVAR, MO, 656138025
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.