MS. MARY SUE JOHNSON ARNP-C
NPI 1063420883
Family Medicine in Lady Lake, FL

Active since August 04, 2006
1560 SANTA BARBARA BLVD, LADY LAKE, FL 32159(352) 750-5000(352) 750-5004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Sue Johnson Arnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SUE JOHNSON ARNP-C (NPI 1063420883) is an individual family medicine provider in Lady Lake, Florida, licensed in Florida (ARNP-3346602) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063420883
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MARY SUE JOHNSONCredential: ARNP-C
Location Address1560 SANTA BARBARA BLVDLady Lake, FL 32159
Mailing Address1560 Santa Barbara BlvdLady Lake, FL 32159 · (352) 750-5000 · Fax (352) 750-5004
Fax(352) 750-5004
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063420883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ARNP-3346602
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1560 SANTA BARBARA BLVD, Lady Lake, FL 32159

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1560 SANTA BARBARA BLVD
LADY LAKE, FL 32159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1063420883. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Mary Johnson located?

Mary Johnson practices at 1560 Santa Barbara Blvd, Lady Lake, FL 32159. The listed phone number is (352) 750-5000.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.