Keri Ann Johnson
Registered Nurse, General Practice in Ruskin, FL. Individual provider (NPI-1).
NPI number1164229092
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1164229092
- Entity type
- Individual (NPI-1)
- Name
- Keri Ann Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2025
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN9417442 | FL | Yes |
Practice location
9813 Ivory DrRuskin, FL 33573-6795
Phone 636-614-9581
Mailing address
2300 Windy Ridge Pkwy SeSte 850s
Atlanta, GA 30339
Phone 929-376-0056
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