MEDICARE: MRS. STEPHANIE KATE JOHNS MSN, APRN-BC

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	ARNP3139582	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3139582	OTHER	FL	ARNP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760693022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE KATE JOHNS MSN, APRN-BC

Provider Business Mailing Address
First Line	:	10870 US-1 STE 4 (URGENT CARE CURE)
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081
Country	:	US
Telephone Number	:	904-438-2720
Fax Number	:	904-547-2368

Provider Business Practice Location Address
First Line	:	URGENT CARE CURE
Second Line	:	10870 US-1 STE 4
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081
Country	:	US
Telephone Number	:	904-438-2720
Fax Number	:	904-547-2368

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	02/21/2022

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