Individual
MRS. NANCY JILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9240053
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9240053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016714600
—
FL
05
—
734275129A
—
GA
Enumeration date
06/05/2009
Last updated
04/26/2016
Update your record
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