Dr JOHNNA L DETTIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2001.
THE MCGREGOR CLINIC, INC
3487 BROADWAY
FORT MYERS
FL
339017213
Tel: 2393342555
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 |
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Organization Legal Name | THE MCGREGOR CLINIC, INC |
Group Practice Pac Id | 7810164688 |
Number Of Group Practice Members | 5 |
Line 1 Street Address | 3487 BROADWAY |
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Marker Of Address Line 2 Suppression | |
City | FORT MYERS |
State | FL |
Zip Code | 339017213 |
Phone Number | 2393342555 |
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Professional Accepts Medicare Assignment | Y |
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