Individual
SHENELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
Mailing address
134 STATE ST, MERIDEN, CT 06450-3293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224736
CT
163W00000X
Registered Nurse
964168
NY
363LF0000X
Family Nurse Practitioner
Primary
15120
CT
Other
Enumeration date
06/13/2025
Last updated
07/30/2025
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