Individual
MARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
228 PARK AVE S STE 16389, NEW YORK, NY 10003-0103
(646) 876-8455
Mailing address
169 MADISON AVE STE 381114, NEW YORK, NY 10016-5101
(646) 876-8455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024194096
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
310464
NY
363LA2200X
Adult Health Nurse Practitioner
4704439802
MI
363LA2200X
Adult Health Nurse Practitioner
NP500225972
DC
363LA2200X
Adult Health Nurse Practitioner
R275385
MD
363LA2200X
Adult Health Nurse Practitioner
RN10028361
MA
363LA2200X
Adult Health Nurse Practitioner
TPAN35453
FL
Other
Enumeration date
07/07/2021
Last updated
03/18/2026
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