Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS SAMUEL JOHNSON, FNP
Active Sole ProprietorNICHOLAS SAMUEL JOHNSON, FNP is a Family Medicine healthcare provider located in O FALLON, Missouri. NPI 1164309985 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · O FALLON, MO
Registration Details
- NPI Number
- 1164309985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2025 (0.98064359148066 yrs)
- Last Updated
- Aug 21, 2025
- License
-
2019006383 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2223 TECHNOLOGY DRO FALLON, MO, 633687272Browse MO providers · Browse ZIP 63368
- Phone
- 6365615999
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in O FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. HEATHER CAROLYN WILLIAMSON | DO | 1700880358 |
| DR. VAN A HARGRAVES | MD | 1255326385 |
| JOHN J. O'BRIEN | M.D. | 1083689061 |
| DR. BETH A ZIMMER | MD | 1548221823 |
| DR. WAN IN L KOO | D.O. | 1871554865 |
| DR. MARYAM NAEMI | D.O. | 1619938628 |
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.