Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Boller Johnson

Individual provider Contractor · NPI 1902261662

Audrey Boller Johnson is a Contractor in Tallahassee, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
4

Practice location Address checks out

1718 Brookside Blvd
Tallahassee, FL 32301-6770
Phone: (954) 294-5973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 S Magnolia Dr, Tallahassee, FL 32301-2944 — (850) 877-3023

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS25698 (FL)
Contractor Taxonomy 171W00000X
Community Health Worker Taxonomy 172V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1902261662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2015
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address1718 Brookside Blvd, Tallahassee, FL 32301-6770

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