Individual provider · Type 1 NPI
Tyreasea Anicha Johnson-Mason, NP
Psychiatric/Mental Health Nurse Practitioner · Haddon Township, NJ
NPI number
1003250101
Active
Practice location
215 Highland Ave Ste 100
Haddon Township, NJ 08108-2634
Fax (856) 823-1922
Other practice locations
- 2250 Chapel Ave W, Suite 100, Cherry Hill, NJ 08002-2051 · (856) 482-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP012833 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00429100 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Haddon Township
About NPI 1003250101
Tyreasea Anicha Johnson-Mason, NP's National Provider Identifier is 1003250101, issued on Apr 19, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Haddon Township, NJ. The record was last updated on Apr 15, 2020.