AUDREY BOLLER JOHNSON NPI 1902261662

NPI Information

Audrey Boller Johnson is a contractor in Pensacola, FL. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Audrey Boller Johnson NPI is 1902261662. 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:

713 ALFONSO ST
PENSACOLA, FL
ZIP 32505
Phone: (888) 835-0572
Fax: (850) 201-6734

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.

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:

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