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NPI Code Detail

MEDICARE: MS. ERIN D JOHNSON NP-C

MEDICARE: MS. ERIN D JOHNSON NP-C
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
1363L00000XNurse PractitionerARNP9379506FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053639427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN D JOHNSON NP-C
Provider Business Mailing Address
First Line : PO BOX 2699
Second Line :
City : PENSACOLA
State : FL
Zip : 32513-2699
Country : US
Telephone Number : 850-622-0873
Fax Number : 850-622-1912
Provider Business Practice Location Address
First Line : 27 MACK BAYOU LOOP
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-2613
Country : US
Telephone Number : 850-622-0873
Fax Number : 850-622-1912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 12/16/2016

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