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

Marcus L Johnson I

Individual provider Case Manager/Care Coordinator · NPI 1376397281

Marcus L Johnson I is a Case Manager/Care Coordinator in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

2995 Warrior Ln
Poplar Bluff, MO 63901-8600
Phone: (573) 712-2902
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence T981128620 (MO)

Record details

NPI number1376397281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address2995 Warrior Ln, Poplar Bluff, MO 63901-8600

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