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Individual

DANIELLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5000 FRANKFORD AVE, PHILADELPHIA, PA 19124
(267) 819-1500
Mailing address
990 CRESSMAN RD, SCHWENKSVILLE, PA 19473

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024771
PA

Other

Enumeration date
11/08/2021
Last updated
10/21/2022
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