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Individual

ALEXANDRA BAKER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9361958
FL

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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