person
Tyreasea Anicha Johnson-mason, NP
Psychiatric/Mental Health Nurse Practitioner in Haddon Township, New Jersey
NPI 1003250101

Tyreasea Anicha Johnson-mason is a Psychiatric/Mental Health Nurse Practitioner based in Haddon Township, NJ and is specialized in Psychiatric/Mental Health. Tyreasea Anicha Johnson-mason practices in Haddon Township, NJ and has the professional credentials of NP. The NPI Number for Tyreasea Anicha Johnson-mason is 1003250101 and holds a License No. SP012833 (New Jersey).

The current practice location address for Tyreasea Anicha Johnson-mason is 215 Highland Ave Ste 100, Haddon Township, NJ and can be reached out via phone at 609-350-4792 and via fax at 856-823-1922.

Location: 215 Highland Ave Ste 100, Haddon Township, NJ, 08108-2634
person
Provider Profile Details
NPI Number
1003250101
Provider Name
Tyreasea Anicha Johnson-mason
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
215 Highland Ave Ste 100, Haddon Township, NJ, 08108-2634
Phone Number
609-350-4792
Fax Number
856-823-1922
Provider Enumeration Date
04/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0379077 05 NJ
1003250101 01 NJ NPI
institution
Provider Business Practice Location Address Details
Address
215 Highland Ave Ste 100
City
State
Zip
08108-2634
Phone Number
609-350-4792
Fax Number
856-823-1922
person
Provider Business Mailing Address Details
Address
215 Highland Ave Ste 100
City
State
Zip
08108-2634
Phone Number
609-350-4792
Fax Number
856-823-1922
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP012833 (Pennsylvania)
Definition
Definition to come...
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