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

Traci Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1275503468

Traci Johnson, FNP-C is a Nurse Practitioner in St Augustine, Florida. Qualified in 2000, 26 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2006
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2703 N Ponce Deleon Blvd
St Augustine, FL 32084-2556
Phone: (904) 824-8328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11017334 (FL)

Record details

NPI number1275503468
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESMarch 5, 2025
Certification dateMarch 3, 2025
Mailing address2703 North Ponce Deleon Blvd, Saint Augustine, FL 32084-2556

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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