Individual
CORLINA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, AAHIVS
Contact information
Practice address
1501 CORPORATE DR STE 100-S6, BOYNTON BEACH, FL 33426-6600
(561) 250-3595
(561) 783-2207
Mailing address
1501 CORPORATE DR STE 100-S6, BOYNTON BEACH, FL 33426-6600
(561) 250-3595
(561) 783-2207
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
9274792
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9274792
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9274792
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9274792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117140000
—
FL
Enumeration date
09/19/2013
Last updated
07/14/2025
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