Individual provider · Type 1 NPI

Breanna Madison Johnson, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1215723382 Active

Practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

936 Meda St
Memphis, TN 38104-5721

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215723382

Breanna Madison Johnson, MD's National Provider Identifier is 1215723382, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Apr 16, 2025.