Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katrina M Johnson

Individual provider Developmental Disabilities Clinic/Center · NPI 1063970358

Katrina M Johnson is a Developmental Disabilities Clinic/Center in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

10225 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone: (904) 923-3505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X

Record details

NPI number1063970358
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019

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