Individual
SAMANTHA S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 993-0108
Mailing address
10246 SW ORANA DR, PORT SAINT LUCIE, FL 34987-5835
(516) 312-3707
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11037024
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F406628-01
NY
Other
Enumeration date
12/30/2024
Last updated
05/10/2025
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