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Jordan Johnson
NPI 1215444369 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4673 E Highway 20
Niceville, FL 32578 - Phone
- (850) 897-0621
- Fax
- (850) 897-0621
- Organisation at this address
- Spectrum House, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida