Individual
CHANTELLE SHANEKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14151 SW 275TH ST, HOMESTEAD, FL 33032-8819
(786) 468-5428
Mailing address
14151 SW 275TH ST, HOMESTEAD, FL 33032-8819
(786) 468-5428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11016781
FL
Other
Enumeration date
12/18/2021
Last updated
04/28/2026
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