Individual
JAIMEE NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10483 FGCU BLVD S, FORT MYERS, FL 33965-0001
(954) 240-6386
Mailing address
19415 SKIDMORE WAY APT 204, ESTERO, FL 33967-4878
(954) 240-6386
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9364069
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11033189
FL
Other
Enumeration date
05/24/2023
Last updated
07/13/2024
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