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Individual

VASILINA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4321 COLLINGTON RD STE 230, BOWIE, MD 20716-2261
(201) 815-3466
Mailing address
4880 BIG ISLAND DR # 3, JACKSONVILLE, FL 32246-7490
(904) 750-6863

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11028575
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225697500
MD
Enumeration date
07/05/2021
Last updated
06/10/2024
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