Individual
TASONYIA SHAMORE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 JOANN ST, PERRY, FL 32348-4232
(850) 843-6640
Mailing address
111 JOANN ST, PERRY, FL 32348-4232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11046308
FL
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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