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

Katrina M Johnson

Individual provider Developmental Disabilities Clinic/Center · NPI 1063970358

Katrina M Johnson is a Developmental Disabilities Clinic/Center in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

10225 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone: (904) 923-3505
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Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X

Record details

NPI number1063970358
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019
Mailing address10225 Magnolia Ridge Dr, Jacksonville, FL 32210-4991

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