Individual
JONI-KAY TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 JOHNSON RD, BETHANY, CT 06524-3306
(202) 615-3778
Mailing address
15 JOHNSON RD, BETHANY, CT 06524-3306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13963
CT
Other
Enumeration date
09/04/2024
Last updated
10/08/2024
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