Individual
MR. CLARENCE MCNEIL JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-PMH
Contact information
Practice address
7450 ALBERT RD FL 2, BRANDYWINE, MD 20613-3035
(301) 888-2233
(301) 888-9133
Mailing address
7450 ALBERT RD FL 3, BRANDYWINE, MD 20613-3035
(301) 888-2233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC002607
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559402201
—
MD
Enumeration date
10/09/2018
Last updated
02/17/2023
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