Individual
SYDNEY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901-2066
(732) 235-6333
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-4735
(866) 470-6626
(413) 599-0470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00938600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14357115
CAQH
—
Enumeration date
08/09/2018
Last updated
05/08/2023
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