Practitioner Profile

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JAY WILLIAM JOHANSEN

License Number: ME117939

Profession
Medical Doctor
License Status
CLEAR/Active
Year Began Practicing
01/01/1989
License Expiration Date
01/31/2026
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes

Primary Practice Address
JAY WILLIAM JOHANSEN
23903 Burdette Forest Rd
CLARKSBURG, MD 20871
Medicaid

This practitioner DOES participate in the Medicaid program.

Staff Privileges

This practitioner currently holds staff privileges at the following hospital/medical/health institutions:

Institution Name City State
SHANDS AT JACKSONVILLE JACKSONVILLE FLORIDA
Email Address

Please contact at: jayjohansen@gmail.com

Other State Licenses

This practitioner has indicated the following additional state licensure:

State Profession
Georgia MEDICAL DOCTOR
California MEDICAL DOCTOR
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.

This practitioner has indicated that he/she has submitted payment of the assessment.

Specialty Certification

This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:

Specialty Board Certification
AMERICAN BOARD OF ANESTHESIOLOGY AN - ANESTHESIOLOGY

Financial Responsibility

Financial Exemption

ARNP Protocol Documents

Section 464.012(3), Florida Statutes was amended in the 2017 Legislative Session requiring that an established protocol be maintained at certain locations.

This section removed the requirement that the Board of Nursing reviews or maintains protocols at the department. Instead, established protocols must be maintained on site at the location(s) at which an advanced registered nurse practitioner practices, as well as any updates to protocols.


In the case of multiple supervising physicians in the same group, an advanced registered nurse practitioner must enter into a supervisory protocol with at least one physician within the physician group practice.

Content provided on the ARNP Protocols tab will no longer be updated, as of June 23, 2017. Here is a link to the law change: https://www.flsenate.gov/Session/Bill/2017/543/BillText/er/PDF , see pages 6-7.


If you have further questions, please contact the Florida Board of Nursing at (850) 245-4125. The Board's website address for additional information is: floridasnursing.gov


Document Type Last Updated Action
ARNP Protocol 12/04/2024 View Document