Dettis, Johnna Lynn

Dettis, Johnna Lynn is an individual health care provider with primary practice located at 3487 Broadway Ave. , Fort Myers FL 33901-7213. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Nursing Service Providers / Ambulatory Care is her primary health care specialty. Dettis, Johnna Lynn can be contacted via phone (239) 334-9555.

Contact Information

Primary practice address
3487 Broadway Ave. Fort Myers FL 33901-7213
Phone: (239) 334-9555
Fax: (239) 334-2832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 1244422 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1244422 Florida
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1244422 Florida

Profile Details

NPI number 1700871662
LBN Legal business name Dettis, Johnna Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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