Individual
MIKAELA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5602 WAR ADMIRAL DR, WESLEY CHAPEL, FL 33544-1567
(786) 760-1226
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11031567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125666500
—
FL
01
—
3NBKN
BCBS
FL
Enumeration date
12/11/2024
Last updated
11/05/2025
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