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Madelyn Mae Johnson

Dietitian, Registered in Tallahassee, FL. Individual provider (NPI-1).

NPI number1548064355
StatusActive
Last updated in NPPESApr 2, 2025

Details

NPI
1548064355
Entity type
Individual (NPI-1)
Name
Madelyn Mae Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2025
Certification date
Apr 2, 2025
Last updated
Apr 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

2187 Parrot Ln
Tallahassee, FL 32303-3345

Phone 608-513-6748

Mailing address

2187 Parrot Ln
Tallahassee, FL 32303-3345

Phone 608-513-6748

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