Provider Demographics
NPI:1093849135
Name:JOHNSON, VIOLA JUNE (RN, ARNP)
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:JUNE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 W 109TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1303
Mailing Address - Country:US
Mailing Address - Phone:913-312-5100
Mailing Address - Fax:
Practice Address - Street 1:1001 EMANUEL CLEAVER II BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-1687
Practice Address - Country:US
Practice Address - Phone:816-756-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO149591363LW0102X
KS44564363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO06215014OtherBCBS KC GRP #
KS110035OtherBCBS KS GRP #
KS161053OtherBCBS KS PROVIDER #
MO09841038OtherBCBS KC PROVIDER#