Individual provider · Type 1 NPI
Ysanne Johnson
Family Nurse Practitioner · New Haven, CT
NPI number
1861892572
Active
Practice location
428 Columbus Ave
New Haven, CT 06519-1233
Mailing address
263 Lenox Ave
Bridgeport, CT 06605-1980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5839 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861892572
Ysanne Johnson's National Provider Identifier is 1861892572, issued on Aug 29, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Aug 29, 2014.