person
Lieutenant Johnson Superville, PHD
Psychiatric/Mental Health Nurse Practitioner in Miramar, Florida
NPI 1790458156

Lieutenant Johnson Superville is a Psychiatric/Mental Health Nurse Practitioner based in Miramar, FL and is specialized in Psychiatric/Mental Health. Lieutenant Johnson Superville practices in Miramar, FL and has the professional credentials of PHD. The NPI Number for Lieutenant Johnson Superville is 1790458156 and holds a License No. 11012823 (Florida).

The current practice location address for Lieutenant Johnson Superville is 7928 Embassy Blvd, Miramar, FL and can be reached out via phone at 954-224-4142.

Location: 7928 Embassy Blvd, Miramar, FL, 33023-6412
person
Provider Profile Details
NPI Number
1790458156
Provider Name
Lieutenant Johnson Superville
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
7928 Embassy Blvd, Miramar, FL, 33023-6412
Phone Number
954-224-4142
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7928 Embassy Blvd
City
State
Zip
33023-6412
Phone Number
954-224-4142
Fax Number
person
Provider Business Mailing Address Details
Address
7928 Embassy Blvd
City
State
Zip
33023-6412
Phone Number
954-224-4142
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11012823 (Florida)
Definition
Definition to come...
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