Individual
DR. VANESSA EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
389 COMMERCE PKWY STE 160, ROCKLEDGE, FL 32955-4202
(321) 200-0346
Mailing address
105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 32931-5041
(321) 200-0346
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME132429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JC290Z
MEDICARE
FL
Enumeration date
05/06/2013
Last updated
04/02/2026
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