Individual
TAMMY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2689 POST ST UNIT 1, JACKSONVILLE, FL 32204-4230
(813) 599-8152
Mailing address
2618 LINCOLN ST APT 4, HOLLYWOOD, FL 33020-3830
(813) 599-8152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9496443
FL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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