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Derekia Johnson
NPI 1295350015 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8278 Golden Bamboo Dr
Jacksonville, FL 32219 - Phone
- (904) 616-8677
- Organisation at this address
- Lee'S Love And Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 3140N1450X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-08
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