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General NPI Number Information
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NPI Number | 1679892616
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Entity Type | Individual
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Provider Name | KRISTIE JOHNSON MSN,ARNP,PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 11/19/2022
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Provider Practice Location Address
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Address Line | 19204 NW US HIGHWAY 441
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-8783
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Country | US
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Telephone | 813-461-9652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3614
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City | OCALA
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State | FL
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Zip | 34478-3614
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Country | US
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Telephone | 813-461-9652
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9258231
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License Number State | FL
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