Shantana Johnson

NPI 1528734548 · on the registry since 2021 · sole proprietor

Practice

Address: 1920 Verano Dr Ste 105
Haines City, FL 33844
Phone: (321) 217-2409
Fax: (855) 257-1340
Organisation at this address: Open Arms & Heart Services Inc
Open Arms & Heart Services Inc
Kingdom Partners Connections Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 251E00000X
251E00000X
Also registered as: 253J00000X
253Z00000X
320600000X
385HR2055X
376J00000X
385H00000X
385HR2050X
385HR2060X
385HR2065X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-26

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