Individual
DESIREE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1359 STARLIGHT CV, TARPON SPRINGS, FL 34689-7040
(816) 803-6795
Mailing address
1462 BRIDGEWATER DR, TARPON SPRINGS, FL 34689-7035
(816) 803-6795
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA429205
FL
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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