Christine Lynn Johnson

Individual provider Active NPI Administrator Registered Nurse · Nokomis, FL

NPI 1043071053 · NPPES record last updated Jan 17, 2024

Key facts

NPI
1043071053
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
RN9518778 (FL)
Practice address
178 Orleander St
Nokomis, FL 34275
Phone
(941) 404-1674
Fax
(888) 726-2721
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN9518778FLMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN9518778 FL Yes

Addresses

Primary practice location

178 Orleander St
Nokomis, FL 34275

Mailing address

178 Orleander St
Nokomis, FL 34275
Phone (941) 404-1674

Other providers in Nokomis, FL

All providers in Nokomis, FL · Administrator Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.