Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JOHNNA LYNN DETTIS, ARNP
ActiveMS. JOHNNA LYNN DETTIS, ARNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FORT MYERS, Florida. NPI 1700871662 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FORT MYERS, FL
Registration Details
- NPI Number
- 1700871662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2005 (20.722651793743 yrs)
- Last Updated
- Jul 24, 2013
- Licenses
-
1244422 (FL)1244422 (FL)1244422 (FL)
Practice Information
- Address
-
3487 BROADWAY AVE.FORT MYERS, FL, 339017213Browse FL providers · Browse ZIP 33901
- Phone
- 2393349555
- Fax
- 2393342832
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Women's Health Nurse Practitioner
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.