MRS. KAREN GAIL SMITH JOHNSON


Address: 603 Scenic Circle, Bonifay, FL 32425
Phone: 8504378500

MRS. KAREN GAIL SMITH JOHNSON (NPI# 1780647180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780647180
Entity Type Individual
Full Name MRS. KAREN GAIL SMITH JOHNSON
Credential ARNP
Practice Address 603 Scenic Circle
Bonifay
FL 32425
Mailing Address Po Box 337
Bonifay
FL 32425
Practice Telephone 8504378500
Practice Fax Number 8505478515
Mailing Telephone 8505478500
Mailing Fax Number 8505478515
Enumeration Date 2006-04-08
Last Update Date 2012-12-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP1846312 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 301077500 05

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Office Location

Street Address 603 SCENIC CIRCLE
City BONIFAY
State FL
Zip Code 32425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710949318 Florida Department of Health Public Health or Welfare 603 Scenic Circle, Bonifay, FL 32425 2006-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124650270 Elizabeth H Lolley Counselor 1987 Remington Pl, Bonifay, FL 32425 2020-02-06
1891333274 Traci Corbin Registered Nurse 603 Scenic Hill Circle, Bonifay, FL 32425 2019-12-16
1912339565 Cb Health Ventures, Inc. Assisted Living Facility 108 Wagner Rd., Bonifay, FL 32425 2013-08-06
1558538868 Patrick L Hawkins Family Medicine 3120 Southride Lane, Bonifay, FL 32425 2008-05-15
1477763860 Pak Rural Health Internal Medicine 812 S. Weeks St, Bonifay, FL 32425 2007-05-23
1073680245 Ahmad Tariq Ismail Family Medicine 110 East Byrd Ave, Bonifay, FL 32425 2006-11-30
1982775805 County of Holmes Office Clerk Board of County Commissioners Ambulance 949 E. Hwy 90, Bonifay, FL 32425 2006-11-13
1710080890 Bonifay Nsg & Rehab Assisted Living Facility 304 N Brock Ave, Bonifay, FL 32425 2006-09-06
1366431702 Holmes County Hospital Corporation General Acute Care Hospital 2600 Hospital Drive, Bonifay, FL 32425 2005-10-18
1457353310 Muhammad Amin Surgery 402 East Byrd Ave, Bonifay, FL 32425 2005-08-11
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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1235648296 Lindsay Danielle Leider Nurse Practitioner 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 2017-09-21
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1780044750 Cherie Gordon Nurse Practitioner 2818 W Virginia Avenue, Tampa, FL 33607 2016-03-03
1487032967 Doris Washington Tucker Nurse Practitioner 15013 Sw 110th Ter, Miami, FL 33196-2599 2015-05-15
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1811324965 Dalia Philbeck Nurse Practitioner 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 2013-10-03
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Competitor

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City BONIFAY
Zip Code 32425

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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