Johnna Lynn Dettis in Fort Myers - Women's Health
Johnna Lynn Dettis - NPI 1700871662
Johnna Lynn Dettis is a Women's Health in Fort Myers, Florida. Johnna Lynn Dettis practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Johnna Lynn Dettis is 1700871662. The last update date is 2013-07-24.
Johnna Lynn Dettis's current location address is 3487 Broadway Ave., Fort Myers, Florida. You can contact this provider via phone number 2393349555 and fax number 2393342832. The mailing address for Johnna Lynn Dettis is 3487 Broadway Ave., Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna Lynn Dettis |
|---|---|
| Address | 3487 Broadway Ave., Fort Myers, Florida |
| Phone Number | 2393349555 |
| Fax Number | 2393342832 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1700871662 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2013-07-24 |
Provider Mailing Address Detail
| Address | 3487 Broadway Ave. |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339017213 |
| Phone Number | 2393349555 |
| Fax Number | 2393342832 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | 1244422 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Johnna Lynn Dettis by the Centers for Medicare & Medicaid Services?
The Johnna Lynn Dettis has been issued the NPI (National Provider Identifier) 1700871662 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Johnna Lynn Dettis's facilities are situated?
The facilities of Johnna Lynn Dettis are physically located at the following address: 3487 Broadway Ave., Fort Myers, FL, 339017213.
What is Johnna Lynn Dettis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Johnna Lynn Dettis's specialized field of practice is Women's Health, and the corresponding taxonomy code that categorizes this area of specialization is 363Lw0102X.
On what date did the Johnna Lynn Dettis receive its 1700871662 assignment from the Centers for Medicare & Medicaid Services?
The Johnna Lynn Dettis was assigned its 1700871662 by the Centers for Medicare & Medicaid Services on 2005-09-16.
As of what date was the information pertaining to Johnna Lynn Dettis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Johnna Lynn Dettis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-24.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH