Individual
MISS MARCIA ANNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS, BLD 5437 8TH STREET, FORT DIX, NJ 08640
(609) 562-2999
Mailing address
11 WHITE CHAPEL COURT, MT. LAUREL, NJ 08054
(856) 802-9976
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NN083919 00
NJ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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