Individual provider · Type 1 NPI

Carolyn Johnson, APRN

Nurse Practitioner · Live Oak, FL

NPI number 1083248710 Active

Practice location

211 Ranchera St NW
Live Oak, FL 32064-4866

Call (386) 364-1751 Map

Mailing address

23476 NW 186th Ave
High Springs, FL 32643-0673

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11050719 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083248710

Carolyn Johnson, APRN's National Provider Identifier is 1083248710, issued on Mar 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Live Oak, FL. The record was last updated on Oct 29, 2026.