Johnson, Natasha Nicole

Johnson, Natasha Nicole is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Natasha Nicole can be contacted via phone (321) 434-7000.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107999 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107999 Florida

Profile Details

NPI number 1932514783
LBN Legal business name Johnson, Natasha Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2014
Last updated Nov 3rd, 2023 - about 3 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 1932514783 NPPES
Florida Other HV398Y MEDICARE
Florida MEDICAID 013505800 MEDICARE
Florida Other HV398Z MEDICARE

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