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Emily Antonia Johnson
Family Nurse Practitioner in New London, Connecticut
NPI 1053175935

Emily Antonia Johnson is a Family Nurse Practitioner based in Chester, CT and is specialized in Family. Emily Antonia Johnson practices in New London, CT. The NPI Number for Emily Antonia Johnson is 1053175935 and holds a License No. 12866 (Connecticut).

The current practice location address for Emily Antonia Johnson is 234A Bank St, New London, CT and can be reached out via phone at 860-442-0290.

Location: 234A Bank St, New London, CT, 06412-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053175935
Provider Name
Emily Antonia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
234A Bank St, New London, CT, 06412-1121
Phone Number
860-442-0290
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
234A Bank St
City
New London
State
Connecticut
Zip
06320-8018
Phone Number
860-442-0290
Fax Number
person
Provider Business Mailing Address Details
Address
234A Bank St
City
New London
State
Connecticut
Zip
06320-8018
Phone Number
860-442-0290
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
12866 (Connecticut)
Definition
Definition to come...
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