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MRS. LORENA ANN JOHNSON RN

Nursing Service Providers Registered Nurse Hospice

Provider NPI: 1295902799

Provider Information:
MRS. LORENA ANN JOHNSON RN
Gender: F
Sole Proprietor

Practice Location:
3425 NICHOLSON ESTATES RD  PACE, FL 32571-9440 US
Tel: 850-994-7755  Fax: --

Business Mailing Address:
3425 NICHOLSON ESTATES RD  PACE, FL 32571-9440 US
Tel: 850-994-7755  Fax: --

NPI Information:
NPI: 1295902799
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WH1000XNursing Service Providers
Registered Nurse
Hospice
FL3103292
Y163WM0705XNursing Service Providers
Registered Nurse
FL3103292
N163WX0200XNursing Service Providers
Registered Nurse
FL3103292

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WM0705X

Type:

Classification:



Definition:



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