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Mrs. Marie Goretti Johnson
General Practice Registered Nurse in St Augustine, Florida
NPI 1942764170

Marie Goretti Johnson is a General Practice Registered Nurse based in St Augustine, FL and is specialized in General Practice. Marie Goretti Johnson practices in St Augustine, FL. The NPI Number for Marie Goretti Johnson is 1942764170 and holds a License No. 9442872 (Florida).

The current practice location address for Marie Goretti Johnson is 235 Trumpco Dr, St Augustine, FL and can be reached out via phone at 904-881-5107.

Location: 235 Trumpco Dr, St Augustine, FL, 32092-1879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942764170
Provider Name
Marie Goretti Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
235 Trumpco Dr, St Augustine, FL, 32092-1879
Phone Number
904-881-5107
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
235 Trumpco Dr
City
St Augustine
State
Florida
Zip
32092-1879
Phone Number
904-881-5107
Fax Number
person
Provider Business Mailing Address Details
Address
235 Trumpco Dr
City
St Augustine
State
Florida
Zip
32092-1879
Phone Number
904-881-5107
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
9442872 (Florida)
Definition
Definition to come...
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