Individual
MS. TIESHA TAMARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2322 S PALMETTO AVE, SOUTH DAYTONA, FL 32119-3093
(386) 864-5232
Mailing address
2322 S PALMETTO AVE, SOUTH DAYTONA, FL 32119-3093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9672022
FL
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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