Most Relevant Information
Provider Data
| NPI Number: | 1003351800 |
| Provider Name: | IMPRICE JOHNSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9334666 |
Most Important Dates
| Enumeration Date: | 01/03/2017 |
| Last Updated: | 02/26/2024 |
Provider Practice Location
1255 GOLFVIEW AVE
BARTOW
FL
338306736
Practice Location Phone/Fax
| Phone: | 8635190575 |
| Fax: |
Provider Mailing Location
PO BOX 1559
BARTOW
FL
338311559
Provider Mailing Phone/Fax
| Phone: | 8635190575 |
| Fax: | 8635829251 |