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Individual

MRS. SHANNON MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-BC

Contact information

Practice address
1400 VFW PKWY, WEST ROXBURY VAMC, WEST ROXBURY, MA 02132
(617) 323-7700
Mailing address
8 WINTHROP PL, APT #1, QUINCY, MA 02169-3000
(617) 770-0874

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
213841
MA

Other

Enumeration date
01/03/2007
Last updated
05/22/2018
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