Individual
YSANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 928-7005
Mailing address
263 LENOX AVE, BRIDGEPORT, CT 06605-1980
(203) 335-5767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5839
CT
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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