Johnson, De'La

Johnson, De'La is an sole proprietor health care provider with primary practice located at Po Box 1268 , New Smyrna Beach FL 32170-1268. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Johnson, De'La can be contacted via phone (386) 259-8803.

Contact Information

Primary practice address
Po Box 1268 New Smyrna Beach FL 32170-1268
Phone: (386) 259-8803
Fax: (386) 213-9981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X APRN11029119 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APRN11029119 Florida

Profile Details

NPI number 1356122634
LBN Legal business name Johnson, De'La
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2023
Last updated Jul 12th, 2024 - about 2 months 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 1356122634 NPPES
Florida MEDICAID APRN1029119

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