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

Mrs. Jacqueline Michelle Johnson, NP

Individual provider Diabetes Educator Registered Nurse · NPI 1720579808

Mrs. Jacqueline Michelle Johnson, NP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2018, 8 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4321 Washington St Ste 6100
Kansas City, MO 64111
Phone: (816) 932-3470
Fax: (816) 932-6888
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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 2017040108 (MO)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence 124618 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2017040108 (MO)

Record details

NPI number1720579808
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 23, 2018
Last updated in NPPESAugust 8, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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