Lieutenant Johnson Superville, PH.D is a psychiatric/mental health nurse practitioner in Miramar, FL. Lieutenant Johnson Superville, PH.D NPI is 1790458156. 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:
7928 EMBASSY BLVD
MIRAMAR, FL
ZIP 33023-412
Phone: (954) 224-4142
The enumeration date for this NPI number is 7/30/2021 and was last updated on 7/30/2021.