Individual
JEREMY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 769-1511
(850) 747-6622
Mailing address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9245206
FL
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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