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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN ELSIE JOHNSON, CPNP

Active

KATHRYN ELSIE JOHNSON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in BOLIVAR, Missouri. NPI 1003260472 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · BOLIVAR, MO

Registration Details

NPI Number
1003260472
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2016 (10.329575678353 yrs)
Last Updated
Jan 28, 2026
License
2017000765 (MO)

Practice Information

Address
1195 N OAKLAND AVE STE 2
BOLIVAR, MO, 656138025
Browse MO providers · Browse ZIP 65613
Phone
4177772121
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.