Individual
MONA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Mailing address
1600 JENKS AVE, PANAMA CITY, FL 32405-4644
(850) 763-6666
(850) 763-6665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1023968
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9281201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G900G
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
12/29/2005
Last updated
09/08/2009
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