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Individual

KRISTA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2398 SE OCEAN BLVD STE A, STUART, FL 34996-3310
(772) 419-4834
(772) 419-4833
Mailing address
260 NW PEACOCK BLVD STE 102, PORT ST LUCIE, FL 34986-2349
(772) 878-7216
(772) 878-7218

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9259102
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9259102
FL

Other

Enumeration date
05/06/2010
Last updated
11/06/2024
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