| Doctor Name: | MISS GARRI RENEE JOHNS |
| NPI Number: | 1043558836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | ARNP9278608 |
| Business Practice Address: | 802 S 6th St Ufjax - Crossroads Family Medicine Macclenny, FL - 320639608 |
| Business Phone Number: | 9043831780 |
| Business Fax Number: | 9043831776 |
| Mailing Address: | Po Box 44008, Ufjp - Provider Enrollment JACKSONVILLE |
| State: | FL |
| Postal Code: | 322314008 |
| Phone Number: | 9042443199 |
| Fax Number: | 9042443425 |
| NPI Enumeration Date: | 01/29/2013 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9278608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |