Johnson Riverside Family Practice LLC
NPI #1295409423 in Moore Haven, Florida
Provider Information
- NPI Number
- 1295409423
- Entity Type
- Organization
- Organization Name
- Johnson Riverside Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 43 AVENUE J
- City
- Moore Haven
- State
- Florida
- ZIP Code
- 33471
- Phone
- (863) 599-1620
Authorized Official
- Name
- JENNIFER NICHOLE JOHNSON, FNP
- Title
- APRN
- Phone
- (863) 946-0284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
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