Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTAE RENEE JOHNSON
Active Sole ProprietorSHANTAE RENEE JOHNSON is a Driver healthcare provider located in POINCIANA, Florida. NPI 1497304646 is currently active in the NPPES registry. Verify at CMS.
Driver · POINCIANA, FL
Registration Details
- NPI Number
- 1497304646
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2019 (6.9539967042098 yrs)
- Last Updated
- Sep 10, 2019
- License
-
221013 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
560 BIG SIOUX CTPOINCIANA, FL, 347595927Browse FL providers · Browse ZIP 34759
- Phone
- 8632057815
- Fax
- 8634967722
- Primary Specialty
-
Driver
172A00000X
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.