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Individual

JAMIE L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12500 N DALE MABRY HWY, STE B, TAMPA, FL 33618-2809
(813) 712-5702
(813) 377-1005
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9220551
FL

Other

Enumeration date
08/29/2008
Last updated
12/08/2016
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