Individual
HARRIET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DOGWOOD RD, BOURNE, MA 02532-2227
(508) 759-7279
(508) 888-7553
Mailing address
1 DOGWOOD RD, BOURNE, MA 02532-2227
(508) 759-7279
(508) 888-7553
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
160572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341100
—
MA
Enumeration date
11/09/2006
Last updated
07/08/2007
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