Johnson, Traci

Johnson, Traci is an individual health care provider with primary practice located at 3634 Rogero Rd , Jacksonville FL 32277-2556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Traci can be contacted via phone (904) 744-8414.

Contact Information

Primary practice address
3634 Rogero Rd Jacksonville FL 32277-2556
Phone: (904) 744-8414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3401792 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005191 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11017334 Florida

Profile Details

NPI number 1275503468
LBN Legal business name Johnson, Traci
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 2nd, 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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