person
Celeste Johnson, NURSEPRACTITIONER
Family Nurse Practitioner in Deer Park, New York
NPI 1164996039

Celeste Johnson is a Family Nurse Practitioner based in Stony Brook, NY and is specialized in Family. Celeste Johnson practices in Deer Park, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Celeste Johnson is 1164996039 and holds a License No. 26NJ01084700 (New York).

The current practice location address for Celeste Johnson is 151 Sammis Ave, Deer Park, NY and can be reached out via phone at 917-664-9932.

Location: 151 Sammis Ave, Deer Park, NY, 11790-0989
person
Provider Profile Details
NPI Number
1164996039
Provider Name
Celeste Johnson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
151 Sammis Ave, Deer Park, NY, 11790-0989
Phone Number
917-664-9932
Fax Number
Provider Enumeration Date
01/14/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
151 Sammis Ave
City
State
Zip
11729-6719
Phone Number
917-664-9932
Fax Number
person
Provider Business Mailing Address Details
Address
151 Sammis Ave
City
State
Zip
11729-6719
Phone Number
917-664-9932
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
343925 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ01084700 (New Jersey)
Definition
Definition to come...
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