Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174449128 Individual Practitioner Female Practitioner

Jessica L Johnson

Nurse Practitioner • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Jessica Johnson is a registered healthcare professional specializing in Nurse Practitioner in Rolla, MO. Practice services are available at 603 S BISHOP AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

603 S Bishop Ave

Rolla, MO 654014320

Telephone 5734264411
Fax 5734264403
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Rolla, MO (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2026028820

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

1000 Gw Ln

Waynesville, MO 655832339

Phone: 5738424116

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Raymond Bruno , FNP

Nurse Practitioner - Family

NPI 1023182888

Family Nurse Practitioner

Madison Bogart , FNP-C

Nurse Practitioner - Family

NPI 1487589305

Family Nurse Practitioner (Certified)

NPI 1508570326

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner

Caleb Jones , FNP-C

Nurse Practitioner - Family

NPI 1639814619

Family Nurse Practitioner (Certified)

Jennifer Wood , NP-C

Nurse Practitioner - Family

NPI 1689487142

Nurse Practitioner (Certified)

Latricia Juneau , FNP-C

Nurse Practitioner - Family

NPI 1770171514

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 13, 2026

Registered at 603 S BISHOP AVE, ROLLA, MO 654014320 (Tel: 5734264411)

📍
Updated Business Mailing Address July 13, 2026

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

NPI Profile Active June 25, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2026

Registered at 603 S BISHOP AVE STE C, ROLLA, MO 654014320 (Tel: 5734264411)

📍
Updated Business Mailing Address June 25, 2026

Registered at 15945 COUNTY ROAD 8140, ROLLA, MO 654015253

👤
Provider Name / Credentials Updated June 25, 2026

Recorded as JESSICA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Nurse Practitioner (License #2026028820 in MO)

🟢
Initial NPI Registration & Enumeration June 25, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jessica Johnson. Be the first to share your experience!

Sign in to leave a review for Jessica Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174449128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2026
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.