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Shanice Johnson

NPI 1750101408 · on the registry since 2024

Practice

Address
12724 Gran Bay Parkway West, Suite 410
Jacksonville, FL 32258
Phone
(904) 320-0712
Organisation at this address
Camelia Kelly
Ganim Md Pllc
Smiley Berry Llc
Paragon Wound Care
1st Choice Venicare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
200

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2025-09-14

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