Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA DEMETRIA JOHNSON
Active Sole ProprietorTARA DEMETRIA JOHNSON is a Assisted Living Facility healthcare provider located in PALM BAY, Florida. NPI 1851883706 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · PALM BAY, FL
Registration Details
- NPI Number
- 1851883706
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2018 (8.1491857020341 yrs)
- Last Updated
- Jun 5, 2018
- License
-
ALF13181 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 ABALONE RD NWPALM BAY, FL, 329072964Browse FL providers · Browse ZIP 32907
- Phone
- 3214804052
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in PALM BAY, FL
| Name | Credential | NPI |
|---|---|---|
| JEANETTE THOMPSON | RN, MSN | 1730405234 |
| MS. ELIZABETH ANN MARTINEZ | RN | 1578877882 |
| MRS. ELIZABETH V WEISE | R.N. | 1215278916 |
| MISS BRINDA J BRASWELL | — | 1912346404 |
| ANALISA DUNCAN | — | 1396136842 |
| LUCIENNE CAJUSTE DELVA | — | 1871136127 |
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.