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MR. EUGENE JOHNSON IDC
NPI 1447403274
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Active since October 24, 2008
2080 CHILD ST, NAVAL AIR STATION, JACKSONVILLE, FL 32214(904) 542-3500(904) 542-4125 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eugene Johnson Idc NPPES

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

MR. EUGENE JOHNSON IDC (NPI 1447403274) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1447403274
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. EUGENE JOHNSONCredential: IDC
Location Address2080 CHILD ST, NAVAL AIR STATIONJacksonville, FL 32214-5005
Mailing Address2080 Child St, Naval Air StationJacksonville, FL 32214-5005 · (904) 542-3500 · Fax (904) 542-4125
Phone(904) 542-3500
Fax(904) 542-4125
Sole ProprietorNo
Enumeration DateOctober 24, 2008
✔ NPI 1447403274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2080 CHILD ST, Jacksonville, FL 32214
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Other Names 1

Other Name (5)Eugene Johnson Idc

Other Providers at the Same Location NPPES 20

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

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Eugene Johnson's NPI number?

The NPI number for Eugene Johnson is 1447403274. It was assigned to this individual provider in the NPPES registry on October 24, 2008. The provider is also known as Eugene Johnson Idc.

Where is Eugene Johnson located?

Eugene Johnson practices at 2080 Child St Naval Air Station, Jacksonville, FL 32214. The listed phone number is (904) 542-3500.

What is Eugene Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Eugene Johnson was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.