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1104381490
TAISHA JOHNSON
PORT ST LUCIE, FL
NPI
1104381490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11000891)
Enumeration Date
2019-01-31
Last Update Date
2022-06-02
Business Address
Ms. TAISHA JOHNSON APRN, NP-C
1893 SW KIMBERLY AVE
PORT ST LUCIE, FL 34953-1020
Phone number: 772-643-1645
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Mailing Address
Ms. TAISHA JOHNSON APRN, NP-C
1893 SW KIMBERLY AVE
PORT ST LUCIE, FL 34953-1020
Phone number: 772-643-1645
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