De'La Johnson, NURSEPRACTITIONER
De'La Johnson, NURSEPRACTITIONER is a Nurse Practitioner in New Smyrna Beach, Florida. Qualified in 2023, 3 years ago. Practices with SNF Physiatry Services Fl PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 3
- Licensed in
- FL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location PO Box
PO Box 1268New Smyrna Beach, FL 32170-1268
Phone: (386) 259-8803
Fax: (386) 213-9981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence APRN11029119 (FL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence APRN11029119 (FL) |
Record details
| NPI number | 1356122634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2023 |
| Last updated in NPPES | July 12, 2024 |
| Certification date | July 12, 2024 |
| Mailing address | Po Box 1268, New Smyrna Beach, FL 32170-1268 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Snf Physiatry Services Fl Pllc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in New Smyrna Beach
-
Mr. Muhammad Emdadul Haque, MD
412 Palmetto St, New Smyrna Beach, FL 32168 · (386) 427-4752
-
Ilze Hicks, MD
PO Box 1268, New Smyrna Beach, FL 32170-1268 · (386) 259-8803