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NPI Code Detail

MEDICARE: MRS. JHONI JOHNSON ARNP

MEDICARE: MRS. JHONI JOHNSON ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9249487FL

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 : 1295162451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JHONI JOHNSON ARNP
Provider Business Mailing Address
First Line : 10330 DEVONSHIRE BOULEVARD
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9302
Country : US
Telephone Number : 561-795-3360
Fax Number :
Provider Business Practice Location Address
First Line : 10330 NUVISTA AVE
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9365
Country : US
Telephone Number : 561-598-5419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2013
Last Update Date : 12/07/2015

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