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Mary Johnson, ARNP
Family Nurse Practitioner in Davenport, Florida
NPI 1750345898

Mary Johnson is a Family Nurse Practitioner based in Davenport, FL and is specialized in Family. Mary Johnson practices in Davenport, FL and has the professional credentials of ARNP. The NPI Number for Mary Johnson is 1750345898 and holds a License No. 1466102 (Florida).

The current practice location address for Mary Johnson is 7575 Osceola Polk Line Rd, Davenport, FL and can be reached out via phone at 321-677-0531 and via fax at 321-677-0537.

Location: 7575 Osceola Polk Line Rd, Davenport, FL, 33837-7542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750345898
Provider Name
Mary Johnson
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
7575 Osceola Polk Line Rd, Davenport, FL, 33837-7542
Phone Number
321-677-0531
Fax Number
321-677-0537
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304941800 05 FL
institution
Provider Business Practice Location Address Details
Address
7575 Osceola Polk Line Rd
City
Davenport
State
Florida
Zip
33896-9112
Phone Number
321-677-0531
Fax Number
321-677-0537
person
Provider Business Mailing Address Details
Address
7575 Osceola Polk Line Rd
City
Davenport
State
Florida
Zip
33896-9112
Phone Number
321-677-0531
Fax Number
321-677-0537
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1466102 (Florida)
Definition
Definition to come...
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