Individual
HANNAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 903-9912
Mailing address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704342599
FL
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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