Provider Demographics
NPI:1134703770
Name:FLOYD, JOHNICA P
Entity Type:Individual
Prefix:
First Name:JOHNICA
Middle Name:P
Last Name:FLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 ARMITAGE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6106
Mailing Address - Country:US
Mailing Address - Phone:352-638-4775
Mailing Address - Fax:
Practice Address - Street 1:2180 ARMITAGE CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6106
Practice Address - Country:US
Practice Address - Phone:352-638-4775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator