Individual
AMBER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DR.0053733
CO
2084P0800X
Psychiatry Physician
Primary
ME156682
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2010
Last updated
05/23/2025
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