Individual
MRS. LORENA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3425 NICHOLSON ESTATES RD, PACE, FL 32571-9440
(850) 994-7755
Mailing address
3425 NICHOLSON ESTATES RD, PACE, FL 32571-9440
(850) 994-7755
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
3103292
FL
163WM0705X
Medical-Surgical Registered Nurse
Primary
3103292
FL
163WX0200X
Oncology Registered Nurse
3103292
FL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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