DEREKIA JOHNSON

Licensed Practical Nurse

Active Individual
NPI: 1295350015

Practice Address

8278 GOLDEN BAMBOO DR
Jacksonville, FL 32219

Phone: (904) 616-8677

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes PN5214949 (FL)
Skilled Nursing Facility - Nursing Care, Pediatric 3140N1450X No -

Frequently Asked Questions

NPI 1295350015 is the National Provider Identifier for DEREKIA JOHNSON, a Licensed Practical Nurse provider located in Jacksonville, FL. This NPI was enumerated on June 8, 2020.
DEREKIA JOHNSON practices at 8278 GOLDEN BAMBOO DR, Jacksonville, FL 32219.

Quick Facts

NPI
1295350015
Type
Individual
Enumerated
Jun 8, 2020
Last Updated
Jun 8, 2020

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