Individual
DANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1700 ROUTE 3, CLIFTON, NJ 07013-3928
(862) 249-4901
Mailing address
1700 ROUTE 3, CLIFTON, NJ 07013-3928
(862) 249-4901
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01114000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01114000
NJ
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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