NPI Registry.org

Taquan Johnson

NPI Registration Record

Provider / OrganizationNPIDate Certified
TAQUAN JOHNSON19226073992020-10-18

Taquan Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922607399. Registration indicates Taquan Johnson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Taquan Johnson
Practice Office Address2727 WOODSDALE DR
MIDDLEBURG, FL US
Practice Office Telephone9049108426
Mailing Address2727 WOODSDALE DR
MIDDLEBURG, FL 320686891 US
Business Telephone9049108426
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
193400000X SINGGroup Code
OPI Codes
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