Provider Demographics
NPI:1558932889
Name:JOHNSON-HOWEY, JUDY (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:JOHNSON-HOWEY
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, PMHNP-BC
Mailing Address - Street 1:1538 HICKORY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-5384
Mailing Address - Country:US
Mailing Address - Phone:561-380-8564
Mailing Address - Fax:949-695-2431
Practice Address - Street 1:1538 HICKORY RIDGE DR
Practice Address - Street 2:
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-5384
Practice Address - Country:US
Practice Address - Phone:561-380-8564
Practice Address - Fax:949-695-2431
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018215363LP0808X
MS905508363LP0808X
AR221749363LP0808X
OK209992363LP0808X
NM71922363LP0808X
AZ305086363LP0808X
FL11014135363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health