Individual
KELLY DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RNC-MNN, CBC
Contact information
Practice address
240 E PALISADE AVE APT 5F, ENGLEWOOD, NJ 07631-3150
(201) 953-4284
Mailing address
240 E PALISADE AVE APT 5F, ENGLEWOOD, NJ 07631-3150
(201) 953-4284
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NO12279100
NJ
163WM0102X
Maternal Newborn Registered Nurse
26NO12279100
NJ
174H00000X
Health Educator
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/13/2019
Last updated
02/03/2026
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