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

Derekia Johnson

Individual provider Licensed Practical Nurse · NPI 1295350015

Derekia Johnson is a Licensed Practical Nurse in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

8278 Golden Bamboo Dr
Jacksonville, FL 32219-6012
Phone: (904) 616-8677
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN5214949 (FL)
Pediatric Skilled Nursing Facility Taxonomy 3140N1450X

Record details

NPI number1295350015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address8278 Golden Bamboo Dr, Jacksonville, FL 32219-6012

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