Individual
MICHELLE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14121 PARKE LONG CT, 201, CHANTILLY, VA 20151-1647
(813) 245-4442
Mailing address
4317 HARBOR LAKE DR, LUTZ, FL 33558-9712
(813) 245-4442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9309805
FL
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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