Provider Demographics
NPI:1265449847
Name:JOHNSON, JEAN GUFFEY (MD,)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:GUFFEY
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD,
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Mailing Address - Street 1:13000 BRUCE B. DOWNS BOULEVARD
Mailing Address - Street 2:(113) DEPARTMENT OF PATHOLOGY
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612
Mailing Address - Country:US
Mailing Address - Phone:813-972-2000
Mailing Address - Fax:813-978-5827
Practice Address - Street 1:13000 BRUCE B. DOWNS BOULEVARD
Practice Address - Street 2:(113) DEPARTMENT OF PATHOLOGY
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-978-5827
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 57269207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology