Individual
ACHISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 CABERNET PL, SAINT AUGUSTINE, FL 32084-2577
(904) 677-0607
Mailing address
461 CABERNET PL, SAINT AUGUSTINE, FL 32084-2577
(904) 677-0607
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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