Individual
MS. CHERRON MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4348 SOUTHPOINT BLVD STE 100, JACKSONVILLE, FL 32216-0903
(904) 281-1915
(904) 281-1119
Mailing address
PO BOX 850001, DEPT 121, ORLANDO, FL 32885-0192
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9165972
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9165972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306873100
—
FL
Enumeration date
07/19/2006
Last updated
04/08/2020
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