Individual
MS. CHACONNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195
(216) 636-6801
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44132
(216) 636-6801
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.020826
OH
Other
Enumeration date
05/03/2017
Last updated
08/27/2018
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