Individual
KARLA GRACE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12832 NW CENTRAL AVE, BRISTOL, FL 32321
(850) 643-2415
(850) 643-5689
Mailing address
18171 NW COUNTY ROAD 12, BRISTOL, FL 32321-4062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1198741
FL
Other
Enumeration date
01/23/2006
Last updated
07/09/2007
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