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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENELL NICOLE JOHNSON

Active Sole Proprietor

JENELL NICOLE JOHNSON is a Advance Practice Midwife healthcare provider located in PORT ST LUCIE, Florida. NPI 1467295667 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · PORT ST LUCIE, FL

Registration Details

NPI Number
1467295667
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2024 (2.208722554936 yrs)
Last Updated
Jun 15, 2024
License
171245099 (FL)
Sole Proprietor
Yes

Practice Information

Address
6118 NW DUKE CIR
PORT ST LUCIE, FL, 349833336
Browse FL providers · Browse ZIP 34983
Phone
9545894520
Primary Specialty
Advance Practice Midwife
163WA2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.