Individual provider · NPI-1
Christine Johns, RN, CDE
Registered Nurse, School · Port St Lucie, FL
NPI number1629330600
StatusActive
Last updated in NPPESJun 14, 2012
Details
- NPI
- 1629330600
- Entity type
- Individual (NPI-1)
- Name
- Christine Johns
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2012
- Last updated
- Jun 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | RN1312552 | FL | Yes |
| 163W00000X | Registered Nurse | Rn1312552 | FL | |
| 163WD0400X | Registered Nurse, Diabetes Educator | RN1312552 | FL |
Practice location
5150 Nw Milner DrPort St Lucie, FL 34983-3392
Phone 772-201-3082
Mailing address
5150 Nw Milner DrPort St Lucie, FL 34983-3392
Phone 772-201-3082
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