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Individual

MRS. KAREN GAIL SMITH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
603 SCENIC CIRCLE, BONIFAY, FL 32425
(850) 437-8500
(850) 547-8515
Mailing address
PO BOX 337, BONIFAY, FL 32425
(850) 547-8500
(850) 547-8515

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP1846312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301077500
FL
Enumeration date
04/08/2006
Last updated
12/20/2012
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