Individual
MRS. PHYLLIS WANDA RHYMES-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP,MSN,DHS-STUDENT
Contact information
Practice address
JACKSON HEALTH SYSTEM - 1611 N.W. 12TH AVENUE, DEVICE CENTER - WW 407, MIAMI, FL 33169
(305) 585-7443
(305) 585-6872
Mailing address
870 N.W. 177TH TERRACE, MIAMI, FL 33169
(305) 793-9612
(305) 653-9882
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1060592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20006
JACKSON HEALTH SYSTEM ID
FL
Enumeration date
01/17/2007
Last updated
07/08/2007
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