Johnson, Taisha

Johnson, Taisha is an individual health care provider with primary practice located at 1893 Sw Kimberly Ave , Port St Lucie FL 34953-1020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Taisha can be contacted via phone (772) 643-1645.

Contact Information

Primary practice address
1893 Sw Kimberly Ave Port St Lucie FL 34953-1020
Phone: (772) 643-1645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11000891 Florida

Profile Details

NPI number 1104381490
LBN Legal business name Johnson, Taisha
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2019
Last updated Jun 2nd, 2022 - about 4 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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