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1982030276 NPI number — CORLINA M JOHNSON AGPCNP-BC, AAHIVS

NPI Number: 1982030276
Health Care Provider/Practitioner: CORLINA M JOHNSON AGPCNP-BC, AAHIVS

Information about “1982030276” NPI (CORLINA M JOHNSON AGPCNP-BC, AAHIVS) exists in 1982030276 in HTML format HTML  |  1982030276 in plain Text format TXT  |  1982030276 in PDF (Portable Document Format) PDF  |  1982030276 in an XML format XML  formats.

NPI Number : 1982030276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982030276",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "CORLINA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "AGPCNP-BC, AAHIVS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCNEIL SOLIS",
    "OtherFirstName": "CORLINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APCNP-BC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1501 CORPORATE DR STE 100-S6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOYNTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33426-6600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-250-3595",
    "MailingAddressFaxNumber": "561-783-2207",
    "FirstLinePracticeLocationAddress": "1501 CORPORATE DR STE 100-S6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOYNTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33426-6600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-250-3595",
    "PracticeLocationAddressFaxNumber": "561-783-2207",
    "EnumerationDate": "09/19/2013",
    "LastUpdateDate": "07/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": "9274792",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "ARNP9274792",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "ARNP9274792",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "ARNP9274792",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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