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NPI Code Detail

MEDICARE: MARCI JILL JOHNS ARNP

MEDICARE:   MARCI JILL JOHNS  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 PractitionerARNP 9203807FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP 9203807OTHERFLNURSE PRACTITIONER

General Provider Information

NPI Number : 1679605323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI JILL JOHNS ARNP
Provider Business Mailing Address
First Line : 516 LAKEVIEW RD
Second Line : STE 4
City : CLEARWATER
State : FL
Zip : 33756-3302
Country : US
Telephone Number : 727-461-7908
Fax Number : 727-223-5269
Provider Business Practice Location Address
First Line : 516 LAKEVIEW RD
Second Line : STE 4
City : CLEARWATER
State : FL
Zip : 33756-3302
Country : US
Telephone Number : 727-461-7908
Fax Number : 727-223-5269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 01/26/2016

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