Individual
HEATHER MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN PMHNP-BC
Contact information
Practice address
5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607
(352) 699-1424
(352) 204-1611
Mailing address
5973 S SUNCOAST BLVD, HOMOSASSA, FL 34446-2607
(352) 699-1424
(352) 204-1611
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029402
FL
Other
Enumeration date
10/26/2023
Last updated
04/03/2025
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