person
Susan R Johnson, ARNP
Pediatric Nurse Practitioner in St Petersburg, Florida
NPI 1316957046

Susan R Johnson is a Pediatric Nurse Practitioner based in St Petersburg, FL and is specialized in Pediatrics. Susan R Johnson practices in St Petersburg, FL and has the professional credentials of ARNP. The NPI Number for Susan R Johnson is 1316957046 and holds a License No. ARNP3072252 (Florida).

The current practice location address for Susan R Johnson is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-8181 and via fax at 727-767-8030.

Location: 501 6Th Ave S, St Petersburg, FL, 33701-4634
person
Provider Profile Details
NPI Number
1316957046
Provider Name
Susan R Johnson
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
501 6Th Ave S, St Petersburg, FL, 33701-4634
Phone Number
727-767-8181
Fax Number
727-767-8030
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303458500 05 FL
Y012G 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
State
Zip
33701-4634
Phone Number
727-767-8181
Fax Number
727-767-8030
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
State
Zip
33701-4634
Phone Number
727-767-8181
Fax Number
727-767-8030
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
ARNP3072252 (Florida)
Definition
Definition to come...
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