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

TANISHA MARIE JOHNSON

Active

TANISHA MARIE JOHNSON is a Gerontological Nurse Practitioner healthcare provider located in LEESBURG, Florida. NPI 1568987873 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · LEESBURG, FL

Registration Details

NPI Number
1568987873
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2017 (8.9735708075557 yrs)
Last Updated
Jul 2, 2025
Licenses
APRN11005451 (FL)
APRN11005451 (FL)

Practice Information

Address
27637 US HIGHWAY 27
LEESBURG, FL, 347489033
Browse FL providers · Browse ZIP 34748
Phone
3523266001
Fax
3523150235
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in LEESBURG, FL

Name Credential NPI
JENNIFER ALDAMUY APRN 1508441890
AMY MACK APRN 1518830587
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.