Individual
SALLY A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WASHINGTON BLVD STE 9, ROBBINSVILLE, NJ 08691-3162
(732) 314-0540
(609) 934-4140
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13121000
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01042000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0761915
—
NJ
01
—
14981431
CAQH ID
NJ
01
—
2020005052
ANCC BOARD CERTIFICATION
NJ
Enumeration date
05/05/2020
Last updated
06/16/2023
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