Individual
YANAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 WINDERMERE AVE APT 5404, ELLINGTON, CT 06029-3957
(901) 270-0064
Mailing address
160 WINDERMERE AVE APT 5404, ELLINGTON, CT 06029-3957
(901) 270-0064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202312
TN
163W00000X
Registered Nurse
RN2356051
MA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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