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

Jessica L Johnson

Individual provider Nurse Practitioner · NPI 1174449128

Jessica L Johnson is a Nurse Practitioner in Rolla, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

603 S Bishop Ave
Rolla, MO 65401-4320
Phone: (573) 426-4411
Fax: (573) 426-4403
Show map & directions

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

Additional practice locations (1)

  • 1000 Gw Ln, Waynesville, MO 65583-2339 — (573) 842-4116

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2026028820 (MO)

Record details

NPI number1174449128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Rolla