Shayna Johnson, | |
33825 Secret Hill Dr, Leesburg, FL 34788-3845 | |
(231) 760-7330 | |
Not Available |
Full Name | Shayna Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 33825 Secret Hill Dr, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245871128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9379136 (Florida) | Primary |
Entity Name | Np Health Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790393874 PECOS PAC ID: 2365867165 Enrollment ID: O20200810002687 |
Entity Name | Hospitalist Medicine Physicians Of Mississippi-tcg, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386122877 PECOS PAC ID: 2961881503 Enrollment ID: O20220628001447 |
Mailing Address | Practice Location Address |
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Shayna Johnson, 10123 Us Highway 441, Leesburg, FL 34788-3952 Ph: (352) 901-6288 | Shayna Johnson, 33825 Secret Hill Dr, Leesburg, FL 34788-3845 Ph: (231) 760-7330 |
Yun Mi Sung, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W North Blvd, Leesburg, FL 34748 Phone: 352-728-4242 | |
Lino Lopez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E. Dixie Avenue, Lrmc Urgent Care, Leesburg, FL 34748 Phone: 352-323-2273 | |
Melissa Rodden, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E North Blvd, Leesburg, FL 34748 Phone: 352-435-7938 Fax: 352-435-7938 | |
Debra A Guitz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270 | |
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582 | |
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Jaclyn Yvette Howe, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |