Individual
MRS. LAEFAH SHUKURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9248139
FL
363LF0000X
Family Nurse Practitioner
APRN11004340
FL
Other
Enumeration date
10/09/2019
Last updated
07/29/2021
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