Provider Demographics
NPI:1376245548
Name:JOHNSON, BRITTNEY JANAE (APRM)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:JANAE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:APRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1886 59TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4630
Mailing Address - Country:US
Mailing Address - Phone:941-794-1980
Mailing Address - Fax:941-794-2893
Practice Address - Street 1:1886 59TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4630
Practice Address - Country:US
Practice Address - Phone:941-794-1980
Practice Address - Fax:941-794-2893
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily