Individual
JOHNNY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544
Mailing address
2568 MAPLE STAND CT, JACKSONVILLE, FL 32221-3839
(904) 781-2272
(904) 328-3756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/22/2011
Last updated
03/13/2019
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