Arthur Jamar Johnson IV
Individual provider Active NPI Registered Nurse · Chattahoochee, FL
NPI 1124873575 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1124873575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9513349 (FL)
- Practice address
- 100 N Main St
Chattahoochee, FL 32324-1198 - Phone
- (850) 793-6505
- NPI assigned
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9513349 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9513349 | FL | Yes |
Addresses
Primary practice location
100 N Main St
Chattahoochee, FL 32324-1198
Mailing address
8106 Pope St
Sneads, FL 32460-2462
Phone (850) 557-9570
Other providers in Chattahoochee, FL
- Aileen K. Humphrey
- Charles Anthony Hurst
- Tillina Ann Jackson
- Brett Edward Jeffrey
- Frank Douglas Johanson
- Jordan Deanna Johnson
- Saim Karakas
- Kennedy Care LLC
- Eric Kennedy
- Maegan Wester Kirkland
All providers in Chattahoochee, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.