Individual
JOHANNA KLINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
928 22ND AVE S, ST PETERSBURG, FL 33705-2934
(727) 327-7656
(727) 322-2130
Mailing address
PO BOX 10970, SAINT PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2130
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9309895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9039895
STATE LICENSE NO
FL
Enumeration date
10/31/2022
Last updated
04/04/2023
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