John Franklin Niswonger, AGNP-C
John Franklin Niswonger, AGNP-C is a Nurse Practitioner in Jackson, Missouri. Qualified in 2020, 6 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 6
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
861 Canyon TrlJackson, MO 63755-4001
Phone: (573) 837-2390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 2020034604 (MO) |
|---|
Record details
| NPI number | 1215537220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | October 28, 2020 |
| Last updated in NPPES | October 28, 2020 |
| Certification date | October 28, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Southeast Missouri Hospital Physicians Llc — 206 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |