Individual
NICOLE BRIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-5550
Mailing address
1717 S ORANGE AVE, ORLANDO, FL 32806-2944
(321) 841-4344
(321) 841-4344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11020786
FL
363LF0000X
Family Nurse Practitioner
11020786
FL
Other
Enumeration date
07/20/2022
Last updated
08/29/2024
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