Individual
MS. CAROL ANN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10244 SOUTH US1, PORT ST LUCIE, FL 34952
(772) 337-7676
(772) 337-9034
Mailing address
103 PENNOCK LANDING CIR, JUPITER, FL 33458-4019
(561) 254-8947
(772) 337-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP1179822
FL
Other
Enumeration date
09/09/2009
Last updated
10/06/2014
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