Individual
MS. SHELBY JENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1225 GERARD AVENUE, MORRISANIA DIAGNOSTIC TREATMENT CENTER, BRONX, NY 10452
(718) 960-2201
(718) 960-2638
Mailing address
15934 RIVERSIDE DRIVE WEST, APT#5L SHELBY J JOHNSON, NEW YORK, NY 10032
(212) 740-4780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381629-1
NY
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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