NPI 1114470077

Shakisha Johnson

Practitioner Foster Care Agency Tallahassee, FL

Practice location

Address: 1882 Capital Cir NE STE 105, Tallahassee, FL 32308-4530
Phone: (850) 656-2320

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 100057522 (FL)

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Registry record

NPI: 1114470077
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2016
Record last updated: 27 Jul 2016

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.