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Individual

JERESHA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 781-4600
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
206618
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008023170
CT
05
008024427
CT
05
008042339
CT
05
008109605
CT
Enumeration date
07/31/2025
Last updated
07/31/2025
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