Doctor Name: | DELORIS JOHNSON |
NPI Number: | 1730562232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1221 Locust St Ste 417 Saint Louis, MO - 631032364 |
Business Phone Number: | 3149324530 |
Business Fax Number: | 3149324532 |
Mailing Address: | 1221 Locust St Ste 417, SAINT LOUIS |
State: | MO |
Postal Code: | 631032364 |
Phone Number: | 3149324530 |
Fax Number: | 3149324532 |
NPI Enumeration Date: | 07/01/2015 |
NPI Last Update Date: | 07/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |