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

MS. BRENDA LEE JOHNSON, 09/28/1965

Active Sole Proprietor

MS. BRENDA LEE JOHNSON, 09/28/1965 is a Foster Care Agency healthcare provider located in MADISON, Florida. NPI 1942633276 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · MADISON, FL

Registration Details

NPI Number
1942633276
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2013 (13.039048030266 yrs)
Last Updated
Oct 8, 2014
License
008047400 (FL)
Sole Proprietor
Yes

Practice Information

Address
308 SW. SHELBY AVENUE
MADISON, FL, 323402334
Browse FL providers · Browse ZIP 32340
Phone
8509730591
Primary Specialty
Foster Care Agency
253J00000X
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.