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Individual
MRS. TYKEMA OCTAVIA JOHNSON
Active
Individual
MRS. TYKEMA OCTAVIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9390446
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11009495
FL
Other
Enumeration date
11/07/2019
Last updated
09/25/2021
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