MS. JOHNNA LYNN DETTIS ARNP NPI 1700871662

NPI Information

NPI: 1700871662
Provider Name: MS. JOHNNA LYNN DETTIS, ARNP
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
3487 BROADWAY AVE.
FORT MYERS, FL
ZIP 33901
Phone: (239) 334-9555
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MS. Johnna Lynn Dettis, ARNP is an ambulatory care registered nurse in Fort Myers, FL. MS. Johnna Lynn Dettis, ARNP NPI is 1700871662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3487 BROADWAY AVE.
FORT MYERS, FL
ZIP 33901-213
Phone: (239) 334-9555
Fax: (239) 334-2832

The enumeration date for this NPI number is 9/16/2005 and was last updated on 7/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1244422	FLORIDA	No
2	363LW0102X	Nurse Practitioner	Women's Health	1244422	FLORIDA	No
3	163WP2201X	Registered Nurse	Ambulatory Care	1244422	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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