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

Miss. Regist Tonyce Johnson, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1720627110

Miss. Regist Tonyce Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Marianna, Florida. Qualified in 2019, 7 years ago. Practices with Dynamic Pain and Wellness LLC, a 28-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

4719 Highway 90
Marianna, FL 32446-7839
Phone: (850) 526-3314
Fax: (850) 526-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 951 Prim Ave Ste 20, Graceville, FL 32440-2500 — (850) 526-3314
  • 4719 Highway 90, Marianna, FL 32446-7839 — (850) 526-3314

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11005534 (FL)

Record details

NPI number1720627110
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dynamic Pain And Wellness Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marianna