Individual
JANET DHEANDRIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
1441 LEWIS GRIFFIN RD, LAKE WALES, FL 33898-9404
(863) 605-6051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9424975
FL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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