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Individual

DR. ASHLEY BROOKE AUSTIN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-C

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 259-0600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11003302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104089100
FL
01
LQ7QK
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/24/2019
Last updated
05/07/2024
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