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

Shantae Renee Johnson

Individual provider Driver · NPI 1497304646

Shantae Renee Johnson is a Driver in Poinciana, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

560 Big Sioux Ct
Poinciana, FL 34759-5927
Phone: (863) 205-7815
Fax: (863) 496-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 221013 (FL)

Record details

NPI number1497304646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

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