Individual provider · Type 1 NPI

Jacqueline Johnson, AGNP

Gerontology Nurse Practitioner · Miami, FL

NPI number 1003359951 Active

Practice location

1501 Biscayne Blvd
Miami, FL 33132-1449

Call (887) 787-0032 Map

Fax (866) 427-3798

Mailing address

317 W Rutherford St
Mount Vernon, TX 75457-3253

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X81-4360797 (TX)
Gerontology Nurse Practitioner Primary 363LG0600XAP143029 (TX)

Gerontology Nurse Practitioner: Definition to come...

11 other providers at this address

Other gerontology nurse practitioner providers in Miami

See all in Miami →

About NPI 1003359951

Jacqueline Johnson, AGNP's National Provider Identifier is 1003359951, issued on Nov 27, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Miami, FL. The record was last updated on May 25, 2026.