Individual
DAVONNIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 MAIN ST, NEW ROCHELLE, NY 10801-6412
(914) 654-6540
Mailing address
405 EXPLORATION TRCE, ELLENWOOD, GA 30294-2275
(914) 619-7354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
693559
NY
164W00000X
Licensed Practical Nurse
Primary
313298
NY
Other
Enumeration date
08/15/2013
Last updated
07/22/2026
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