Individual
MISS SUSANNE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
525 CLINTON STREET, CAMDEN, NJ 08103
(856) 968-2320
Mailing address
8218 WESTMINSTER RD, ELKINS PARK, PA 19027-1409
(215) 688-3462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00652200
NJ
363LF0000X
Family Nurse Practitioner
SP014887
PA
Other
Enumeration date
07/07/2015
Last updated
09/08/2016
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