Individual
KERI ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9813 IVORY DR, RUSKIN, FL 33573-6795
(636) 614-9581
Mailing address
2300 WINDY RIDGE PKWY SE, STE 850S, ATLANTA, GA 30339
(929) 376-0056
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9417442
FL
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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