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

Mrs. Wanda Lee Johnson, RN

Individual provider Registered Nurse · NPI 1598160509

Mrs. Wanda Lee Johnson, RN is a Registered Nurse in Black Jack, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4866 Persimmon Bend Ln
Black Jack, MO 63033-4568
Phone: (314) 409-3758
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 141209 (MO)

Record details

NPI number1598160509
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 3, 2014
Last updated in NPPESNovember 3, 2014

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