Individual
BRENDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 BANNING ST STE 280, DOVER, DE 19904-3489
(302) 866-2494
(302) 487-1167
Mailing address
PO BOX 67536, NEWARK, NJ 07101-8009
(302) 866-2494
(302) 487-1167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11180497
PA
363LF0000X
Family Nurse Practitioner
Primary
LG-0001235
DE
Other
Enumeration date
01/08/2019
Last updated
01/23/2026
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