Individual provider · Type 1 NPI

Mary Johnson, ARNP

Family Nurse Practitioner · Davenport, FL

NPI number 1750345898 Active

Practice location

7575 Osceola Polk Line Rd
Davenport, FL 33896-9112

Fax (321) 677-0537

Mailing address

12 South Blvd E
Davenport, FL 33837-7542

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1466102 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1750345898

Mary Johnson, ARNP's National Provider Identifier is 1750345898, issued on Apr 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Davenport, FL. The record was last updated on Sep 1, 2011.