Individual
KJERSTEN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
290 PLEASANT ST, 102, WATERTOWN, MA 02472-2427
(617) 571-9221
Mailing address
290 PLEASANT ST, 102, WATERTOWN, MA 02472-2427
(617) 571-9221
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN17902
MA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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