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

Caspertine Johnson

Individual provider Family Nurse Practitioner · NPI 1306502083

Caspertine Johnson is a Family Nurse Practitioner in Live Oak, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2021.

Licensed in
FL, GA
In the registry since
2021
Specialties on file
4

Practice location Address checks out

1101 Ohio Ave S
Live Oak, FL 32064-4146
Phone: (386) 339-1060
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN302027 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11016170 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11016170 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN302027 (GA)

Record details

NPI number1306502083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2021
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing addressPo Box 5922, Valdosta, GA 31603-5922

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