| Doctor Name: | MS. KAREN JOHNSON |
| NPI Number: | 1033596382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 2014041456 |
| Business Practice Address: | 14080 Harvard Ln Dixon, MO - 654598187 |
| Business Phone Number: | 5735286527 |
| Business Fax Number: | |
| Mailing Address: | 14080 Harvard Ln, DIXON |
| State: | MO |
| Postal Code: | 654598187 |
| Phone Number: | 5735286527 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2014041456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |