Individual
AMANDA JOHNSON SAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1303 MOSLEY DR, LYNN HAVEN, FL 32444-5625
(850) 784-7722
Mailing address
1303 MOSLEY DR, LYNN HAVEN, FL 32444-5625
(850) 784-7722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9294976
FL
363LF0000X
Family Nurse Practitioner
237474
GA
363LF0000X
Family Nurse Practitioner
Primary
9294976
FL
Other
Enumeration date
02/14/2018
Last updated
08/30/2024
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