MS. Taisha Johnson, APRN, NP-C
NPI #1104381490 in Port St Lucie, Florida
Provider Information
- NPI Number
- 1104381490
- Entity Type
- Individual
- Name
- MS. Taisha Johnson, APRN, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN, NP-C
- Enumeration Date
- Jan 31, 2019
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 1893 SW KIMBERLY AVE
- City
- Port St Lucie
- State
- Florida
- ZIP Code
- 34953-1020
- Phone
- (772) 643-1645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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