# SAMANTHA PEARL JOHNSON NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1770442196
- **Authorized official:** SAMANTHA PEARL JOHNSON PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (330) 390-0840

## Contact information

- **Practice address:** 1408 BROOKLYN AVE APT 5E, BROOKLYN, NY 11210-1875
- **Practice address phone:** (330) 390-0840
- **Mailing address:** 1408 BROOKLYN AVE APT 5E, BROOKLYN, NY 11210-1875
- **Mailing address phone:** (330) 390-0840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2026
- **Last updated:** 07/24/2026