Individual
MS. MARY DAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4130 SALISBURY RD, JACKSONVILLE, FL 32216-8031
(904) 303-3193
Mailing address
9438 ARBOR OAK LN, JACKSONVILLE, FL 32208-8428
(904) 303-3193
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2974502
FL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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