Individual
MRS. FAITH E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1601 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 419-9301
Mailing address
1601 SIXTH ST SE, WINTER HAVEN, FL 33880-4605
(863) 419-9301
(863) 419-9304
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2970562
FL
Other
Enumeration date
10/31/2015
Last updated
11/17/2015
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