Individual
MONICA YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Mailing address
57 BRINKERHOFF ST, JERSEY CITY, NJ 07304-2515
(201) 435-4831
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
F309843
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F309843-01
NY
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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