Diantha Lucretia Johnson, NURSEPRACTITIONER
Diantha Lucretia Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Miramar, Florida. Qualified in 2022, 4 years ago. Practices with MD at Home Central Florida, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 4
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
8140 SW 29th StMiramar, FL 33025-6712
Phone: (954) 854-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11036737 (FL) |
|---|
Record details
| NPI number | 1942017561 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2024 |
| Last updated in NPPES | December 17, 2024 |
| Certification date | December 17, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Md At Home Central Florida, Llc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Miramar
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