Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 KINGSLEY AVE STE A1, ORANGE PARK, FL 32073-4528
(904) 637-5550
Mailing address
1406 KINGSLEY AVE STE A1, ORANGE PARK, FL 32073-4528
(904) 637-5550
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS5830
HEARING AID SPECIALIST
FL
Enumeration date
08/22/2024
Last updated
08/22/2024
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