Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 HARRISON AVE STE 3500, BOSTON, MA 02118
(617) 638-8776
(617) 414-8772
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2332909.
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2332909
MA
Other
Enumeration date
08/13/2019
Last updated
09/18/2019
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