Individual
DEON JOHNSON-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7265
(203) 573-7578
Mailing address
144C RED STONE HL, PLAINVILLE, CT 06062-2667
(718) 938-5277
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7975
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124592274
—
CT
Enumeration date
01/11/2019
Last updated
01/18/2022
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