Individual
CATHY SPENCER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
519 COUNTRY LN, HAVANA, FL 32333-1501
(850) 509-2847
Mailing address
519 COUNTRY LN, HAVANA, FL 32333-1501
(850) 509-2847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5177811
FL
251E00000X
Home Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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