Individual
MRS. VON-NICA W. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
1680 EAGLE HARBOR PKWY STE A, ORANGE PARK, FL 32003-4821
(904) 264-9555
(904) 215-7960
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9233376
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9233376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004548000
—
FL
Enumeration date
02/06/2012
Last updated
07/24/2019
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