JOHNNA L DETTIS

THE MCGREGOR CLINIC, INC

Dr JOHNNA L DETTIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2001.

Contact

THE MCGREGOR CLINIC, INC

3487 BROADWAY
FORT MYERS
FL
339017213

Tel: 2393342555

JOHNNA L DETTIS Information

Npi 1700871662
Pac Id 9335381292
Professional Enrollment Id I20130806000690
Last Name DETTIS
First Name JOHNNA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE MCGREGOR CLINIC, INC
Group Practice Pac Id 7810164688
Number Of Group Practice Members 5
Line 1 Street Address 3487 BROADWAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT MYERS
State FL
Zip Code 339017213
Phone Number 2393342555
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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