Individual
JOHANNA LYNN STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(386) 487-0800
(352) 565-1044
Mailing address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(386) 487-0800
(352) 565-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9486897
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11024069
FL
Other
Enumeration date
07/16/2018
Last updated
06/05/2024
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