Johnson, Christina Cerise

Johnson, Christina Cerise is an individual health care provider with primary practice located at 302 E James Lee Blvd , Crestview FL 32539-2827. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Christina Cerise can be contacted via phone (850) 682-1002.

Contact Information

Primary practice address
302 E James Lee Blvd Crestview FL 32539-2827
Phone: (850) 682-1002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9240049 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9240049 Florida

Profile Details

NPI number 1740227503
LBN Legal business name Johnson, Christina Cerise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 2nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740227503 NPPES
Florida MEDICAID 307414500

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