NPI 1023590247

Antwonette Johnson, LPN

Practitioner Licensed Practical Nurse Jacksonville, FL

Practice location

Address: 555 Stockton St, Jacksonville, FL 32204-2534
Phone: (904) 387-4661

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN5234684 (FL)

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Registry record

NPI: 1023590247
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2018
Record last updated: 4 Sep 2018

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.