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Individual

STEPHANIE L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, NNP-BC

Contact information

Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(954) 974-0400
Mailing address
320 ANTLER POINT DR, NEW MARKET, AL 35761-9017

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1-093081
AL
363LN0000X
Neonatal Nurse Practitioner
350485
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN11004385
FL

Other

Enumeration date
09/10/2019
Last updated
06/17/2024
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