Johnson, Leah Mary

Johnson, Leah Mary is an sole proprietor health care provider with primary practice located at 115 Professional Dr Ste 101 , Ponte Vedra FL 32082-6201. 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 / Family is her primary health care specialty. Johnson, Leah Mary can be contacted via phone (904) 686-7525.

Contact Information

Primary practice address
115 Professional Dr Ste 101 Ponte Vedra FL 32082-6201
Phone: (904) 686-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11018872 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11018872 Florida

Profile Details

NPI number 1578200275
LBN Legal business name Johnson, Leah Mary
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2022
Last updated May 16th, 2022 - about 3 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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