Individual
MRS. NANCY JILL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
(904) 757-1998
(904) 696-7462
Mailing address
6520 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2044
(904) 745-3618
(904) 722-4271
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
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