Individual
KATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5000
Mailing address
73 VALHALLA DR, SOUTH YARMOUTH, MA 02664-1056
(508) 367-3214
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2267275
MA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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