Johnson, Melody

Johnson, Melody is an individual health care provider with primary practice located at 635 Eichenfeld Dr , Brandon FL 33511-5908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Melody can be contacted via phone (813) 684-6000.

Contact Information

Primary practice address
635 Eichenfeld Dr Brandon FL 33511-5908
Phone: (813) 684-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2517572 Florida

Profile Details

NPI number 1740619436
LBN Legal business name Johnson, Melody
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Aug 13th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740619436 NPPES
Florida MEDICAID 010211200

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