Individual
MRS. MICHELE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 5TH ST S, SUITE #605, ST PETERSBURG, FL 33701-4804
(727) 822-4300
(727) 456-1399
Mailing address
2901 58TH AVE N, ST. PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1183002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003411800
—
FL
Enumeration date
01/18/2011
Last updated
01/20/2015
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