Johnson, Melody
Johnson, Melody is an individual health care provider with primary practice located at 635 Eichenfeld Dr , Brandon FL 33511-5908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Melody can be contacted via phone (813) 684-6000.Contact Information
Primary practice address
635 Eichenfeld Dr
Brandon FL 33511-5908
Phone: (813) 684-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP2517572 | Florida |
Profile Details
| NPI number | 1740619436 |
|---|---|
| LBN Legal business name | Johnson, Melody |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Aug 13th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740619436 | NPPES |
| Florida | MEDICAID | 010211200 |
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