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Individual

JOHAN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
126 NE 169TH ST, NORTH MIAMI BEACH, FL 33162-1752
(305) 968-0294
Mailing address
126 NE 169TH ST, NORTH MIAMI BEACH, FL 33162-1752
(305) 968-0294

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN11015432
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11015432
FL

Other

Enumeration date
10/11/2021
Last updated
03/16/2026
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