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

Emily Johnson

Individual provider Nurse Practitioner · NPI 1669280657

Emily Johnson is a Nurse Practitioner in Davenport, Florida. Qualified in 2024, 2 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

7575 Osceola Polk Line Rd
Davenport, FL 33896-9112
Phone: (321) 677-0531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11043835 (FL)

Record details

NPI number1669280657
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedDecember 21, 2024
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address7575 Osceola Polk Line Rd, Davenport, FL 33896-9112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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