Individual
JANE JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 N US HIGHWAY 441 STE 540, LADY LAKE, FL 32159-8987
(352) 753-9777
(866) 446-9777
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11029749
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11029749
FL
Other
Enumeration date
07/11/2012
Last updated
08/20/2025
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