Individual
CLAUDETTE ANTOINETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CHANNEL DROP LOOP, ZEBULON, NC 27597-4429
(813) 629-4798
Mailing address
920 CHANNEL DROP LOOP, ZEBULON, NC 27597-4429
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035777
FL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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