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Nicole Johnson
NPI 1922512078 · on the registry since 2017
Practice
- Address
- 1498 Port Malabar Blvd Ne
Palm Bay, FL 32905 - Phone
- (321) 848-7349
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-28
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