Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Sue Johnson, ARNP-C

Individual provider Family Medicine Physician · NPI 1063420883

MS. Mary Sue Johnson, ARNP-C is a Family Medicine Physician in Lady Lake, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

1560 Santa Barbara Blvd
Lady Lake, FL 32159 Not confirmed with CMS for 19 years — call before visiting
Phone: (352) 750-5000
Fax: (352) 750-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ARNP-3346602 (FL)

Record details

NPI number1063420883
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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