Healthcare Provider Details

I. General information

NPI: 1881515435
Provider Name (Legal Business Name): HIKEMA JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5677 DOONESBURY WAY
TALLAHASSEE FL
32303-6939
US

IV. Provider business mailing address

5677 DOONESBURY WAY
TALLAHASSEE FL
32303-6939
US

V. Phone/Fax

Practice location:
  • Phone: 850-759-6943
  • Fax:
Mailing address:
  • Phone: 850-759-6943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: