Individual
MRS. JULIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN, BSN
Contact information
Practice address
250 S WICKHAM RD, MELBOURNE, FL 32904-1134
(321) 752-5210
Mailing address
219 CHALET AVE, INDIALANTIC, FL 32903-3007
(321) 917-6116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11019989
FL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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