Healthcare Provider Details

I. General information

NPI: 1912824137
Provider Name (Legal Business Name): BRITTANY LEIGH JOHNSON APRN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2293 S WOODLAND BLVD
DELAND FL
32720-8633
US

IV. Provider business mailing address

36121 HUFF RD
EUSTIS FL
32736-8852
US

V. Phone/Fax

Practice location:
  • Phone: 386-279-7010
  • Fax:
Mailing address:
  • Phone: 321-230-7656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06262173
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: