GLORIA RAE JOHNSON NURSE PRACTITIONER
NPI 1265808299
Nurse Practitioner - Family in Palm Bay, FL

Q: What is Gloria Johnson's NPI number?

The NPI number for Gloria Johnson is 1265808299. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Q: What is Gloria Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Johnson was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 13, 2015

4031 DIXIE HWY NE, PALM BAY, FL 32905(321) 622-3222 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gloria Rae Johnson Nurse Practitioner NPPES

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

GLORIA RAE JOHNSON NURSE PRACTITIONER (NPI 1265808299) is an individual family provider in Palm Bay, Florida, licensed in Florida (ARNP9200334) and active in the NPI registry since August 2015. She maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1265808299

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGLORIA RAE JOHNSONCredential: NURSE PRACTITIONER

Location Address4031 DIXIE HWY NEPalm Bay, FL 32905-3682

Mailing Address4031 Dixie Hwy NePalm Bay, FL 32905-3682 · (321) 622-3222 · Fax (321) 622-3203

Phone(321) 622-3222

Sole ProprietorYes

Enumeration DateAugust 13, 2015

Last NPPES UpdateJune 4, 2019

✔ NPI 1265808299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9200334

4031 DIXIE HWY NE, Palm Bay, FL 32905

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Secondary Practice Location 1

Location 1911 Columbus Ave, Advanced Behavioral CareMelbourne, FL 32901 · Phone (321) 622-3222 · Fax (321) 622-3203

Other Providers at the Same Location NPPES 3

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

KEVIN VINCENT MASTURZO LCSW

Social Worker (Clinical)

4031 DIXIE HWY NE
PALM BAY, FL 32905

Brevard County (321) 622-3222

DR. RICHARD M BUNT M.D.

Psychiatry & Neurology (Psychiatry)

4031 DIXIE HWY NE
PALM BAY, FL 32905

Brevard County (321) 622-3222

SUSAN NEIL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4031 DIXIE HWY NE
PALM BAY, FL 32905

Brevard County (321) 622-3222

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 Gloria Johnson's NPI number?

The NPI number for Gloria Johnson is 1265808299. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Gloria Johnson located?

Gloria Johnson practices at 4031 Dixie Hwy NE, Palm Bay, FL 32905. The listed phone number is (321) 622-3222.

What is Gloria Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gloria Johnson was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.