Individual
GILLIAN KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8311 SW 57TH PL, GAINESVILLE, FL 32608-5563
(352) 222-4027
Mailing address
8311 SW 57TH PL, GAINESVILLE, FL 32608-5563
(352) 222-4027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP 9247419
FL
363L00000X
Nurse Practitioner
Primary
ARNP9247419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012192900
—
FL
Enumeration date
05/05/2014
Last updated
09/24/2014
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