Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica L Johnson

Individual provider Nurse Practitioner · NPI 1174449128

Jessica L Johnson is a Nurse Practitioner in Rolla, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

603 S Bishop Ave
Rolla, MO 65401-4320
Phone: (573) 426-4411
Fax: (573) 426-4403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Gw Ln, Waynesville, MO 65583-2339 — (573) 842-4116

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2026028820 (MO)

Record details

NPI number1174449128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address1050 W 10th St, Rolla, MO 65401-2905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Rolla