# DENISE C JOHNSON NURSE PRACTITIONER IN FAMILY HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215760699
- **Authorized official:** DENISE JOHNSON (FNP)
- **Authorized official phone:** (347) 306-5064

## Contact information

- **Practice address:** 12802 111TH AVE, SOUTH OZONE PARK, NY 11420-1607
- **Practice address phone:** (347) 306-5064
- **Mailing address:** 12802 111TH AVE, SOUTH OZONE PARK, NY 11420-1607
- **Mailing address phone:** (347) 306-5064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024