Individual provider · Type 1 NPI
Traci Johnson, FNP-C
Family Nurse Practitioner · St. Augustine, FL
NPI number
1275503468
Active
Practice location
2703 North Ponce Deleon Blvd
St. Augustine, FL 32084-2556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11017334 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275503468
Traci Johnson, FNP-C's National Provider Identifier is 1275503468, issued on Jan 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 5, 2025.