Individual
EMILY ANTONIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234A BANK ST, NEW LONDON, CT 06320-8018
(860) 442-0290
Mailing address
27 RIDGE RD, CHESTER, CT 06412-1121
(860) 304-7933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12866
CT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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