Individual
MS. SHARONDA SHANISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
325 E 15TH ST, APOPKA, FL 32703-7114
(321) 316-2998
Mailing address
1070 MONTGOMERY RD, ALTAMONTE SPRINGS, FL 32714-7420
(407) 902-1307
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
FL
374U00000X
Home Health Aide
124
FL
376J00000X
Homemaker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110610700
—
FL
Enumeration date
07/06/2020
Last updated
10/13/2021
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