Individual
MS. MARCELLA C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 SW MAPP RD, PALM CITY, FL 34990-2446
(772) 223-2633
Mailing address
8985 THREE RAIL DR, BOYNTON BEACH, FL 33472-4335
(954) 401-3724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11000410
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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