TRINA JOHNSON PETTIFORD NPI 1003786070

NPI Information

  • NPI: 1003786070
  • Provider Name: TRINA JOHNSON PETTIFORD
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 8642 NW 55TH PL
    CORAL SPRINGS, FL
    ZIP 33067
  • Phone: (954) 638-7096

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NPI Details

Trina Johnson Pettiford is a clinical nurse specialist in Coral Springs, FL. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Trina Johnson Pettiford NPI is 1003786070. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8642 NW 55TH PL
CORAL SPRINGS, FL
ZIP 33067-808
Phone: (954) 638-7096

The enumeration date for this NPI number is 11/6/2025 and was last updated on 11/6/2025.

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
1364S00000XClinical Nurse Specialist9244404FLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

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