Individual
MRS. CHARMAIN CAROL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
17325 PAGONIA RD, CLERMONT, FL 34711-6008
(407) 905-6014
(407) 636-7808
Mailing address
17325 PAGONIA RD, CLERMONT, FL 34711-6008
(407) 905-6014
(407) 636-7808
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9199463
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9199463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010691400
—
FL
Enumeration date
12/11/2013
Last updated
02/13/2024
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