Individual provider · Type 1 NPI
Latisha Johnson, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1730704032
Active
Practice location
1 Gustave L. Levy Place
New York, NY 10029-6574
Mailing address
1001 Madison St Apt 301
Hoboken, NJ 07030-6486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 3096777 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1730704032
Latisha Johnson, NP's National Provider Identifier is 1730704032, issued on Jun 11, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Oct 17, 2020.