Provider Demographics
NPI:1669095824
Name:JOHNS, JAIME MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:MARIE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 NE 3RD AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3800
Mailing Address - Country:US
Mailing Address - Phone:561-243-7612
Mailing Address - Fax:
Practice Address - Street 1:525 NE 3RD AVE STE 104
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3800
Practice Address - Country:US
Practice Address - Phone:561-243-7612
Practice Address - Fax:561-243-7614
Is Sole Proprietor?:No
Enumeration Date:2020-05-22
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05200089363LF0000X
FLAPRN11007170363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily