Jackie Johnson
Registered Nurse in Gainesville, FL. Individual provider (NPI-1).
NPI number1982185021
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1982185021
- Entity type
- Individual (NPI-1)
- Name
- Jackie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9402680 | FL | Yes |
Practice location
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
Mailing address
4300 Sw 13th StGainesville, FL 32608-4006
Phone 352-374-5600
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