Individual
DEANNA V JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.N., APN
Contact information
Practice address
10 BROOK END DR, WEST ORANGE, NJ 07052-1303
(973) 325-7345
(973) 325-3715
Mailing address
10 BROOK END DR, WEST ORANGE, NJ 07052-1303
(973) 325-7345
(973) 325-3715
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NR04888600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8036501
—
NJ
Enumeration date
07/28/2006
Last updated
07/08/2007
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