Individual
TEHYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO BLDG SUITE 9 B & C, BOSTON, MA 02118-2755
(617) 414-4290
(617) 414-4285
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2328958
MA
363L00000X
Nurse Practitioner
RN2328958
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2328958
MA
Other
Enumeration date
12/19/2019
Last updated
07/25/2025
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