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Search › Florida › 163WP2201X

Johnna Dettis, ARNP

NPI 1700871662 · on the registry since 2005

Practice

Address
3487 Broadway Ave.
Fort Myers, FL 33901
Phone
(239) 334-9555
Fax
(239) 334-2832
Organisation at this address
The Mcgregor Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
163WP2201X
163WP2201X
Also registered as
363LF0000X
363LW0102X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-24

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