Provider Demographics
NPI:1558932889
Name:JOHNSON-HOWEY, JUDY ELAINE (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ELAINE
Last Name:JOHNSON-HOWEY
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:ELAINE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1275 HIGHWAY 1
Mailing Address - Street 2:SUITE 2 - 6067
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:561-380-8564
Mailing Address - Fax:
Practice Address - Street 1:1275 HIGHWAY 1
Practice Address - Street 2:SUITE 2 - 6067
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:561-380-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014135363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health