Individual
MRS. LAUREN P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8075 GATE PARKWAY W, SUITE 305, JACKSONVILLE, FL 32216
(904) 269-2992
(904) 296-2993
Mailing address
8075 GATE PARKWAY W, SUITE 305, JACKSONVILLE, FL 32216
(904) 269-2992
(904) 296-2993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9247061
FL
363LF0000X
Family Nurse Practitioner
5004832
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9247061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004876400
—
FL
Enumeration date
06/14/2010
Last updated
05/04/2022
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