Individual
MS. LORRAINE GEORGIA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
Mailing address
2123 FRANKLIN DR NE, PALM BAY, FL 32905-4022
(321) 724-1614
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9335623
FL
Other
Enumeration date
07/23/2008
Last updated
10/25/2017
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