Individual
DEBRA V JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
35 TOWER LN STE 104, AVON, CT 06001-4237
(860) 983-0655
Mailing address
22 TRAINOR DR, WEATOGUE, CT 06089-9613
(860) 983-0655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000838
CT
Other
Enumeration date
07/13/2005
Last updated
04/26/2022
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