Daley, Johnnie Lee

Daley, Johnnie Lee is an individual health care provider with primary practice located at 2776 Cleveland Ave , Fort Myers FL 33901-5864. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Daley, Johnnie Lee can be contacted via phone (239) 343-3292.

Contact Information

Primary practice address
2776 Cleveland Ave Fort Myers FL 33901-5864
Phone: (239) 343-3292
Fax: (239) 343-3695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP127635 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F356081-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F408157-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11018318 Florida

Profile Details

NPI number 1245625565
LBN Legal business name Daley, Johnnie Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated Apr 24th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245625565 NPPES
Florida MEDICAID 114479800

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