Versie Johnson-mallard NP
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Versie Johnson-mallard NP
NPI Number
1245457829
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/18/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ARNP1949272
Contact
Information
Purpose
Mailing
Location
Address
3292 HAWKS RIDGE DR
12901 BRUCE B DOWNS BLVD # 22
City
Lakeland
Tampa
State
FL
FL
Postal Code
33810-4010
33612-4742
Country
US
US
Telephone Number
(863) 815-1675
(813) 974-7210
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007