Kimberly L Johnson
Homemaker in Clearwater, FL. Individual provider (NPI-1).
NPI number1164051850
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1164051850
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly L Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2020
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 251E00000X | Home Health | – | – |
Other names
- Jacqueline F Edmonds (Former Name)
Practice location
14055 46th Street North Suite 1102Clearwater, FL 33762
Phone 727-509-4441
Mailing address
14055 46th Street North Suite 1102Clearwater, FL 33762
Phone 727-509-4441
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All 9 Homemaker providers in Clearwater · All 6,156 providers in Clearwater
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