Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN1041999 | DC |
NPI | 1033340799 |
---|---|
Provider Name | Floyd Joseph Johnson III |
First Address | Washington, DC 20037-1856 |
Second Address | Washington, DC 20037-1856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2009 |
Last Update Date | 12/03/2019 |