Nicole Marie Johnson, PA-C
NPI #1053952499 in Winter Garden, Florida
Provider Information
- NPI Number
- 1053952499
- Entity Type
- Individual
- Name
- Nicole Marie Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 7, 2019
- Last Updated
- Feb 13, 2023
Practice Location
- Address
- 2200 FOWLER GROVE BLVD STE 140
- City
- Winter Garden
- State
- Florida
- ZIP Code
- 34787-5597
- Phone
- (407) 614-0528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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