Individual provider · Type 1 NPI

Emily Johnson

Nurse Practitioner · Davenport, FL

NPI number 1669280657 Active

Practice location

7575 Osceola Polk Line Rd
Davenport, FL 33896-9112

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11043835 (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 1669280657

Emily Johnson's National Provider Identifier is 1669280657, issued on Dec 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Davenport, FL. The record was last updated on Dec 23, 2025.