Individual
CARRIE M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5153 N 9TH AVE, STE 307, PENSACOLA, FL 32504-8785
(850) 505-4745
(850) 505-4756
Mailing address
PO BOX 191, SHMG, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9277206
FL
363LP0200X
Pediatric Nurse Practitioner
561031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000395000
—
FL
Enumeration date
06/19/2007
Last updated
05/07/2015
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