Individual
SHANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,C
Contact information
Practice address
120 W 7TH ST, SUITE 203, PLAINFIELD, NJ 07060-1643
(908) 757-8687
(908) 757-8685
Mailing address
120 W 7TH ST, SUITE 203, PLAINFIELD, NJ 07060-1643
(908) 757-8687
(908) 757-8685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00051500
NJ
Other
Enumeration date
08/12/2006
Last updated
11/21/2013
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