Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH JOHNSON
ActiveCommunity Health Worker · BRIDGETON, MO
Registration Details
- NPI Number
- 1982112819
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2018 (8.274150666161 yrs)
- Last Updated
- Jan 29, 2019
- License
-
00004535 (IL)
Practice Information
- Address
-
3165 MCKELVEY RD STE 200BRIDGETON, MO, 630442550Browse MO providers · Browse ZIP 63044
- Phone
- 3142063900
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| MS. KAPRIS BENEA CLARK | BACHELORS OF SCIENCE | 1023352218 |
| VESTA ROBERTS | B.S. | 1477978112 |
| KELTY LUFCY | M.A. | 1811354236 |
| KAITLYN TAYLOR KRISTINA GOTTHARDT | — | 1760912893 |
| MRS. SHYLA DAVON TIMES MAYES | BA | 1366959868 |
| AMBER MICHELLE PRUITT | — | 1033696885 |
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.