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Organization
JOHANNE SAJOUS HHCSR
Active
Organization
JOHANNE SAJOUS HHCSR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARAH EDWIDGE JOHANNE SAJOUS FNP-C (OWNER)
(571) 432-6769
Entity
Organization
Contact information
Practice address
9351 PINTO DR, LAKE WORTH, FL 33467-1035
(571) 432-6769
(336) 279-1226
Mailing address
2627 GRIMSLEY ST, GREENSBORO, NC 27403-3135
(336) 279-1227
(336) 279-1226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/04/2019
Last updated
11/03/2021
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