Individual
MRS. CARLY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
6600 MADISON ST, NEW PORT RICHEY, FL 34652-1971
(727) 734-6888
Mailing address
6600 MADISON AVE, NEW PORT RICHEY, FL 34652
(727) 734-6888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9321326
FL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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