JOHN FRANKLIN NISWONGER

JACKSON, MO
NPI1215537220
Other NameJOHNNY FRANKLIN NISWONGER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2020034604)
Enumeration Date2020-10-28
Last Update Date2020-10-28
Business Address
JOHN FRANKLIN NISWONGER AGNP-C
861 CANYON TRL
JACKSON, MO 63755-4001
Phone number: 573-837-2390
Mailing Address
JOHN FRANKLIN NISWONGER AGNP-C
861 CANYON TRL
JACKSON, MO 63755-4001
Phone number: 573-837-2390