| Jennifer Nichole Johnson, APRN | |
|
43 Avenue J Sw, Moore Haven, FL 33471-2116 | |
| (863) 599-1620 | |
| Not Available |
| Full Name | Jennifer Nichole Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 43 Avenue J Sw, Moore Haven, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821691544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11010025 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Preferred Care Home Health Services | Fort myers, FL | Home health agency |
| Hendry Regional Medical Center | Clewiston, FL | Hospital |
| Entity Name | Johnson Riverside Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295409423 PECOS PAC ID: 5496152555 Enrollment ID: O20210916002176 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nichole Johnson, APRN 43 Avenue J Sw, Moore Haven, FL 33471-2116 Ph: (863) 946-0284 | Jennifer Nichole Johnson, APRN 43 Avenue J Sw, Moore Haven, FL 33471-2116 Ph: (863) 599-1620 |
Juslain Jonathas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Health Park Dr, Moore Haven, FL 33471 Phone: 863-946-0405 Fax: 863-847-2310 | |
Harry Jean, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 Health Park Dr, Moore Haven, FL 33471 Phone: 863-946-0405 | |
Gloria Rodriguez Rodriguez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Health Park Dr, Moore Haven, FL 33471 Phone: 863-946-0405 Fax: 844-542-8959 |