Individual
MELISSA A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
190 JACK MARTIN BLVD BLDG B3, BRICK, NJ 08724-7728
(732) 774-4554
Mailing address
190 JACK MARTIN BLVD, BRICK, NJ 08724-7728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00874300
NJ
Other
Enumeration date
01/31/2019
Last updated
02/06/2019
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