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NPI Code Detail

MEDICARE: ALLISON F JOHNSON ARNP

MEDICARE: ALLISON F 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
1363LA2200XAdult Health Nurse PractitionerARNP2005382FL

General Provider Information

NPI Number : 1326398157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON F JOHNSON ARNP
Provider Business Mailing Address
First Line : 300 PARKVIEW PL
Second Line : (FAMILY HEALTH CENTER)
City : LAKELAND
State : FL
Zip : 33805-4550
Country : US
Telephone Number : 863-687-1300
Fax Number : 863-687-1305
Provider Business Practice Location Address
First Line : 300 PARKVIEW PL
Second Line : (FAMILY HEALTH CENTER)
City : LAKELAND
State : FL
Zip : 33805-4550
Country : US
Telephone Number : 863-687-1300
Fax Number : 863-687-1305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 09/19/2012

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