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Search › Florida › 163W00000X

Jerriston Johnson, BSN

NPI 1316860356 · on the registry since 2026

Practice

Address
11512 Lake Mead Ave Unit 536b
Jacksonville, FL 32256
Phone
(904) 707-4367
Organisation at this address
Live Well M.D.
Jax Healthcare Llc
Hampton Pediatrics Pa
Seven Oaks Therapy Llc
Little Star Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-04

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