Johnson, Gloria Rae
Johnson, Gloria Rae is an sole proprietor health care provider with primary practice located at 4031 Dixie Hwy Ne , Palm Bay FL 32905-3682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Gloria Rae can be contacted via phone (321) 622-3222.Contact Information
Primary practice address
4031 Dixie Hwy Ne
Palm Bay FL 32905-3682
Phone: (321) 622-3222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9200334 | Florida |
Profile Details
| NPI number | 1265808299 |
|---|---|
| LBN Legal business name | Johnson, Gloria Rae |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2015 |
| Last updated | Jun 4th, 2019 - about 7 years 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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