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NPI Code Detail

MEDICARE: MR. PAUL KIRK JOHNSON ARNP

MEDICARE: MR. PAUL KIRK 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP2557342FL

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 : 1932219987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL KIRK JOHNSON ARNP
Provider Business Mailing Address
First Line : PO BOX 19189
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32245-9189
Country : US
Telephone Number : 904-743-1883
Fax Number : 904-743-5109
Provider Business Practice Location Address
First Line : 3333 W 20TH ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-1703
Country : US
Telephone Number : 904-695-9145
Fax Number : 904-695-2465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/19/2009

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