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

Shantae Renee Johnson

Individual provider Driver · NPI 1497304646

Shantae Renee Johnson is a Driver in Poinciana, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

560 Big Sioux Ct
Poinciana, FL 34759-5927
Phone: (863) 205-7815
Fax: (863) 496-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 221013 (FL)

Record details

NPI number1497304646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address560 Big Sioux Ct, Poinciana, FL 34759-5927

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