Ms Tiesha Tamara Johnson, RN is a
Registered Nurse based in South Daytona, Florida. Ms Tiesha Tamara Johnson is licensed to practice in Florida (license number 9672022) and her current practice location is
2322 S Palmetto Ave, South Daytona, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 864-5232.
NPI number for Ms Tiesha Tamara Johnson is 1700712643 and her current mailing address is 2322 S Palmetto Ave, South Daytona, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700712643.
Provider's Profile
| Full Name | Ms Tiesha Tamara Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 2322 S Palmetto Ave, South Daytona, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700712643
- Provider Enumeration Date: 06/19/2026
- Last Update Date: 06/19/2026
Medical Identifiers
Medical identifiers for Ms Tiesha Tamara Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700712643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 9672022 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tiesha Tamara Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Tiesha Tamara Johnson, RN 2322 S Palmetto Ave, South Daytona, FL 32119-3093 Ph: () - | Ms Tiesha Tamara Johnson, RN 2322 S Palmetto Ave, South Daytona, FL 32119-3093 Ph: (386) 864-5232 |
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