Provider Demographics
NPI:1881784122
Name:JOHNSON, CHRISTIE SAPP (ARNP)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:SAPP
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6142 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5806
Mailing Address - Country:US
Mailing Address - Phone:904-778-3200
Mailing Address - Fax:904-778-9835
Practice Address - Street 1:6142 COLLINS RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5806
Practice Address - Country:US
Practice Address - Phone:904-778-3200
Practice Address - Fax:904-778-9835
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2952332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily