Individual
BRIDGETT MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1481 MCDONALD AVE FL 2, BROOKLYN, NY 11230-4667
(929) 491-7333
(000) 000-0000
Mailing address
10380 SW VILLAGE CENTER DR STE 215, PORT SAINT LUCIE, FL 34987-1931
(929) 491-7333
(929) 491-7333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9382157
FL
363L00000X
Nurse Practitioner
74494
NM
363LA2200X
Adult Health Nurse Practitioner
310606
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
11015365
FL
363LG0600X
Gerontology Nurse Practitioner
26NJ14875500
NJ
363LG0600X
Gerontology Nurse Practitioner
74494
NM
363LP2300X
Primary Care Nurse Practitioner
1057450
TX
363LP2300X
Primary Care Nurse Practitioner
11015365
FL
363LP2300X
Primary Care Nurse Practitioner
95020396
CA
Other
Enumeration date
10/31/2017
Last updated
06/16/2025
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