Individual provider · Type 1 NPI
Shannon Lynne Johnson, NP-C
Adult Health Nurse Practitioner · East Boston, MA
NPI number
1417158296
Active
Practice location
10 Gove St
East Boston, MA 02128-1920
Fax (617) 568-4780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 262820 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1417158296
Shannon Lynne Johnson, NP-C's National Provider Identifier is 1417158296, issued on May 30, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Boston, MA. The record was last updated on Feb 1, 2012.