Individual
KRISTIN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGACNP-BC
Contact information
Practice address
4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL 33813
(863) 816-5884
(863) 940-4856
Mailing address
4315 HIGHLAND PARK BLVD, SUITE A, LAKELAND, FL 33813
(863) 816-5884
(863) 940-4856
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9372403
FL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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