MEDICARE: ANDREA J BRINER-JOHNSON ARNP, FNP-C, PMHNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP9268573	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARPN9268573	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1326460775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA J BRINER-JOHNSON ARNP, FNP-C, PMHNP

Provider Business Mailing Address
First Line	:	1801 SE HILLMOOR DR
Second Line	:	C-103 C-104
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7553
Country	:	US
Telephone Number	:	772-742-2411
Fax Number	:	772-210-5087

Provider Business Practice Location Address
First Line	:	1801 SE HILLMOOR DR
Second Line	:	C-103 C-104
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7553
Country	:	US
Telephone Number	:	772-742-2111
Fax Number	:	772-210-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2014
Last Update Date	:	09/18/2025

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