Individual provider · Type 1 NPI
Marcella C. Johnson
Pediatric Nurse Practitioner · Palm City, FL
NPI number
1609431550
Active
Practice location
1532 SW Mapp Rd
Palm City, FL 34990-2446
Mailing address
8985 Three Rail Dr
Boynton Beach, FL 33472-4335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 11000410 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1609431550
Marcella C. Johnson's National Provider Identifier is 1609431550, issued on May 7, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Palm City, FL. The record was last updated on May 7, 2019.