Provider Demographics
NPI:1831725225
Name:JOHNSON, JOPHIN (FNP-BC,APRN)
Entity type:Individual
Prefix:MRS
First Name:JOPHIN
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:
Credentials:FNP-BC,APRN
Other - Prefix:MISS
Other - First Name:JOPHIN
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 NW 13TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2269
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2465 S STATE ROAD 7 STE 800
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9348
Practice Address - Country:US
Practice Address - Phone:561-784-4930
Practice Address - Fax:833-625-1630
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily