Individual
TANISHA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27637 US HIGHWAY 27, LEESBURG, FL 34748-9033
(352) 326-6001
(352) 315-0235
Mailing address
27637 US HIGHWAY 27, LEESBURG, FL 34748-9033
(352) 326-6001
(352) 315-0235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11005451
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11005451
FL
Other
Enumeration date
08/08/2017
Last updated
07/02/2025
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