person
Mr. Jon David Johnson, ARNP
Family Nurse Practitioner in Lake Butler, Florida
NPI 1730179698

Jon David Johnson is a Family Nurse Practitioner based in Lake Butler, FL and is specialized in Family. Jon David Johnson practices in Lake Butler, FL and has the professional credentials of ARNP. The NPI Number for Jon David Johnson is 1730179698 and holds a License No. 9197452 (Florida).

The current practice location address for Jon David Johnson is 495 E Main St, Lake Butler, FL and can be reached out via phone at 386-496-3211 and via fax at 386-496-1599.

Location: 495 E Main St, Lake Butler, FL, 32054-7724
person
Provider Profile Details
NPI Number
1730179698
Provider Name
Jon David Johnson
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
495 E Main St, Lake Butler, FL, 32054-7724
Phone Number
386-496-3211
Fax Number
386-496-1599
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306277500 05 FL
660083200 05 FL
institution
Provider Business Practice Location Address Details
Address
495 E Main St
City
State
Zip
32054-1731
Phone Number
386-496-3211
Fax Number
386-496-1599
person
Provider Business Mailing Address Details
Address
495 E Main St
City
State
Zip
32054-1731
Phone Number
386-496-3211
Fax Number
386-496-1599
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9197452 (Florida)
Definition
Definition to come...
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