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Derekia Johnson
Pediatric Skilled Nursing Facility in Jacksonville, Florida
NPI 1295350015

Derekia Johnson is a Pediatric Skilled Nursing Facility based in Jacksonville, FL and is specialized in Nursing Care, Pediatric. Derekia Johnson practices in Jacksonville, FL. The NPI Number for Derekia Johnson is 1295350015 and holds a License No. PN5214949 (Florida).

The current practice location address for Derekia Johnson is 8278 Golden Bamboo Dr, Jacksonville, FL and can be reached out via phone at 904-616-8677.

Location: 8278 Golden Bamboo Dr, Jacksonville, FL, 32219-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295350015
Provider Name
Derekia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8278 Golden Bamboo Dr, Jacksonville, FL, 32219-6012
Phone Number
904-616-8677
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8278 Golden Bamboo Dr
City
Jacksonville
State
Florida
Zip
32219-6012
Phone Number
904-616-8677
Fax Number
person
Provider Business Mailing Address Details
Address
8278 Golden Bamboo Dr
City
Jacksonville
State
Florida
Zip
32219-6012
Phone Number
904-616-8677
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
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Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
PN5214949 (Florida)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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