| Mary Johnson, ARNP | |
|
7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 | |
| (321) 677-0531 | |
| (321) 677-0537 |
| Full Name | Mary Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7575 Osceola Polk Line Rd, Davenport, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750345898 | NPI | - | NPPES |
| 304941800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1466102 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Johnson, ARNP 12 South Blvd E, Davenport, FL 33837-7542 Ph: (321) 677-0531 | Mary Johnson, ARNP 7575 Osceola Polk Line Rd, Davenport, FL 33896-9112 Ph: (321) 677-0531 |
Briana Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Karen R Elias Valladares, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Heather Lynn Dr, Davenport, FL 33897 Phone: 703-626-7788 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Catherine Reynolds, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 |