License Verification

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NATASHA NICOLE JOHNSON

License Number: PA9107999

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9107999
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
06/23/2014
Address of Record
1350 HICKORY ST
MELBOURNE, FL 32901
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
DUNNE, TONY Supervising Prescribing Practitioner Medical Doctor 137915 03/12/2021
PELLEGRINO, SAMUEL VINCENT JR Supervising Prescribing Practitioner Medical Doctor 84614 03/09/2017
PESSA, MARK EDMUND Supervising Prescribing Practitioner Medical Doctor 94760 03/09/2017
ZENONI, SCOTT Supervising Prescribing Practitioner Medical Doctor 118157 10/01/2018

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.