Whalio Doctors

NPI 1023200631

Kerri Miranda Johnson, LMCPM

Practitioner Midwife St Augustine, FL

Practice location

Address
212 Charlotte St Suite 2b, St Augustine, FL 32084-4406
Phone
(904) 808-0488

Registered specialties

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence MW185 (FL)

Registry record

NPI
1023200631
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Aug 2007
Record last updated
16 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.