Search › Missouri › 171M00000X
Tara Johnson
NPI 1790478485 · on the registry since 2023 · sole proprietor
Practice
- Address
- 18565 Business 13
Branson West, MO 65737 - Phone
- (417) 272-8064
- Fax
- (417) 272-0073
- Organisation at this address
- Lakeland Clinical
Mike Stuart Enterprises Inc
Mike Stuart Enterprises, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 104 Cortney Ln, Crane, MO
- 1232 Branson Hills Pkwy Ste 205, Branson, MO
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri