Lieutenant Johnson Superville

PH.D | Nurse Practitioner - Psych/Mental Health

7928 Embassy Blvd, Miramar
  Florida, 33023-6412
954-224-4142
May or may not accept Medicare Nurse Anesthetist in Miramar, Florida.
Lieutenant Johnson Superville is a Miramar, Florida based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Lieutenant Johnson Superville is 11012823 for Psych/Mental Health in Florida. Her current practice location is 7928 Embassy Blvd, Miramar. Patients can reach her at 954-224-4142. Lieutenant Johnson Superville is PH.D with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1790458156.
Lieutenant Johnson Superville provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Lieutenant Johnson Superville speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Lieutenant Johnson Superville
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: PH.D
Practice Address:7928 Embassy Blvd, Miramar,
Florida, 33023-6412
Phone:954-224-4142
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1790458156
NPI Enumeration Date: 30 Jul, 2021
NPI Last Update On: 30 Jul, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lieutenant Johnson Superville are as mentioned below.
License NumberSpecializationStateStatus
11012823Psych/Mental Health FloridaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Lieutenant Johnson Superville
7928 Embassy Blvd,
Miramar, Florida
Zip: 33023-6412
Phone Number: 954-224-4142
Patients can reach Lieutenant Johnson Superville at 7928 Embassy Blvd, Miramar, Florida or can call to book an appointment on 954-224-4142.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.