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NPI Code Detail

MEDICARE: TAMMY M JOHNSON RN

MEDICARE:   TAMMY M JOHNSON  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse9496443FL

General Provider Information

NPI Number : 1033785951
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY M JOHNSON RN
Provider Business Mailing Address
First Line : 2618 LINCOLN ST APT 4
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3830
Country : US
Telephone Number : 813-599-8152
Fax Number :
Provider Business Practice Location Address
First Line : 2689 POST ST UNIT 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4230
Country : US
Telephone Number : 813-599-8152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 06/01/2021

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Directions to “ TAMMY M JOHNSON RN” Practice Location

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