Tyreasea A Johnson-Mason, NP
Nurse Practitioner, Psych/Mental Health in Haddon Township, New Jersey
1003250101- Practice location
- 215 Highland Ave Ste 100, Haddon Township, NJ 08108-2634
- Phone
- 609-350-4792
- Fax
- 856-823-1922
- Last updated
- April 15, 2020
Tyreasea Anicha Johnson-Mason is a Nurse Practitioner, Psych/Mental Health based in Haddon Township, NJ. 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 (PA). The current practice location address for Tyreasea Anicha Johnson-Mason is 215 Highland Ave Ste 100, Haddon Township, NJ 08108-2634 and can be reached out via phone at 609-350-4792 and via fax at 856-823-1922.
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
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 19, 2013
- Last Update Date
- April 15, 2020
- Certification Date
- April 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 215 Highland Ave Ste 100
Haddon Township, NJ 08108-2634 - City
- Haddon Township
- State
- New Jersey
- Zip
- 08108-2634
- Phone Number
- 609-350-4792
- Fax Number
- 856-823-1922
Provider Business Mailing Address Details
- Address
- 215 Highland Ave Ste 100
Haddon Township, NJ 08108-2634 - City
- Haddon Township
- State
- NJ
- Zip
- 08108-2634
- Phone Number
- 609-350-4792
- Fax Number
- 856-823-1922
License Information
- License Number (1)
- SP012833
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 26NJ00429100
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyreasea A Johnson-Mason, NP?
The NPI number of Tyreasea A Johnson-Mason, NP is 1003250101. It was assigned on April 19, 2013 and is currently active in the NPPES registry.
What is the specialty of Tyreasea A Johnson-Mason, NP?
Tyreasea A Johnson-Mason, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number SP012833.
Where does Tyreasea A Johnson-Mason, NP practice?
The practice location is 215 Highland Ave Ste 100, Haddon Township, NJ 08108-2634. The office can be reached at 609-350-4792 (phone) or 856-823-1922 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003250101 directly on the NPPES registry website.