Johnson, Nicole Marie

Johnson, Nicole Marie is an individual health care provider with primary practice located at 2200 Fowler Grove Blvd Ste 140 , Winter Garden FL 34787-5597. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Nicole Marie can be contacted via phone (407) 614-0528.

Contact Information

Primary practice address
2200 Fowler Grove Blvd Ste 140 Winter Garden FL 34787-5597
Phone: (407) 614-0528
Fax: (407) 614-0529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116795 Florida

Profile Details

NPI number 1053952499
LBN Legal business name Johnson, Nicole Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated Feb 13th, 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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