Ms. Ebony T Johnson, APRN
Nurse Practitioner, Family in Southington, Connecticut
1174004782- Practice location
- 462 Queen St Fl 3, Southington, CT 06489-1801
- Phone
- 860-696-2240
- Fax
- —
- Last updated
- January 28, 2025
Ebony Tasha Johnson is a Nurse Practitioner, Family based in Southington, CT. Ebony Tasha Johnson practices in Southington, CT and has the professional credentials of APRN. The NPI Number for Ebony Tasha Johnson is 1174004782 and holds a License No. 7774 (CT). The current practice location address for Ebony Tasha Johnson is 462 Queen St Fl 3, Southington, CT 06489-1801 and can be reached out via phone at 860-696-2240.
Provider Profile Details
- NPI Number
- 1174004782
- Provider Name
- Ebony Tasha Johnson
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 462 Queen St Fl 3, Southington, CT 06489-1801
- Phone Number
- 860-696-2240
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2018
- Last Update Date
- January 28, 2025
- Certification Date
- January 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 462 Queen St Fl 3
Southington, CT 06489-1801 - City
- Southington
- State
- Connecticut
- Zip
- 06489-1801
- Phone Number
- 860-696-2240
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
License Information
- License Number
- 7774
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Ms. Ebony T Johnson, APRN?
The NPI number of Ms. Ebony T Johnson, APRN is 1174004782. It was assigned on August 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Ms. Ebony T Johnson, APRN?
Ms. Ebony T Johnson, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7774.
Where does Ms. Ebony T Johnson, APRN practice?
The practice location is 462 Queen St Fl 3, Southington, CT 06489-1801. The office can be reached at 860-696-2240 (phone).
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 1174004782 directly on the NPPES registry website.