Johnson, Corlina M

Johnson, Corlina M is an sole proprietor health care provider with primary practice located at 1501 Corporate Dr Ste 100-S6 , Boynton Beach FL 33426-6600. She recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Johnson, Corlina M can be contacted via phone (561) 250-3595.

Contact Information

Primary practice address
1501 Corporate Dr Ste 100-S6 Boynton Beach FL 33426-6600
Fax: (561) 783-2207
Website:

Profile Details

NPI number 1982030276
LBN Legal business name Johnson, Corlina M
Credentials AGPCNP-BC, AAHIVS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2013
Last updated Jul 14th, 2025 - about last year

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 1982030276 NPPES
Florida MEDICAID 117140000

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