Dr. Samantha Jo Johnson, M.D.
Obstetrics & Gynecology in Pensacola, FL. Individual provider (NPI-1).
NPI number1154778413
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1154778413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha Jo Johnson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2016
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME138885 | FL | Yes |
Practice location
2156 W Nine Mile RdPensacola, FL 32534-9464
Phone 850-416-2433
Mailing address
4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone 904-450-6063 · Fax 904-539-4091
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