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

Kathryn Elsie Johnson, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1003260472

Kathryn Elsie Johnson, CPNP is a Pediatric Nurse Practitioner in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

1195 N Oakland Ave Ste 2
Bolivar, MO 65613-8025
Phone: (417) 777-2121
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2017000765 (MO)

Record details

NPI number1003260472
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026