Individual
DR. JESSICA ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
1297 E PUTNAM AVE # 1010, RIVERSIDE, CT 06878-1500
(203) 340-0407
Mailing address
1297 E PUTNAM AVE # 1010, RIVERSIDE, CT 06878-1500
(203) 340-0407
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10142
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F403579-01
NY
Other
Enumeration date
01/18/2022
Last updated
03/04/2026
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