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

MRS. AMBER RENEE JOHNSON, PAC MMS

Active

Physician Assistant · BRIDGETON, MO

Registration Details

NPI Number
1275706913
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2008 (18.066144579807 yrs)
Last Updated
Sep 16, 2014
License
2008026707 (MO)

Practice Information

Address
12255 DE PAUL DR
SUITE 460
BRIDGETON, MO, 630442510
Browse MO providers · Browse ZIP 63044
Phone
3147701844
Fax
3147701843
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BRIDGETON, MO

Name Credential NPI
ANDREW J WAHLE PA 1306828819
PAUL J DIESFELD PA-C 1396796041
MRS. LYNN M ROBBINS PA-C 1356393961
KIMBERLY L. LUU PA 1669553590
MICHELE L BENA PA-C 1720127012
COURTNEY C GRODIE PA 1437590437
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.