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

Shanikwa Johnson, APRN

Individual provider Registered Nurse · NPI 1710733787

Shanikwa Johnson, APRN is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2024, 2 years ago. Practices with Excellence Health LLC, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1301 Beville Rd
Daytona Beach, FL 32119-9009
Phone: (386) 238-9064
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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 APRN11041844 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9512253 (FL)

Record details

NPI number1710733787
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 1, 2025

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 Excellence Health Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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