person
Ms. Ebony Tasha Johnson, APRN
Family Nurse Practitioner in East Haven, Connecticut
NPI 1174004782

Ebony Tasha Johnson is a Family Nurse Practitioner based in East Haven, CT and is specialized in Family. Ebony Tasha Johnson practices in East Haven, CT and has the professional credentials of APRN. The NPI Number for Ebony Tasha Johnson is 1174004782 and holds a License No. 7774 (Connecticut).

The current practice location address for Ebony Tasha Johnson is 444 Foxon Rd, East Haven, CT and can be reached out via phone at 203-533-5911 and via fax at 475-238-6372.

Location: 444 Foxon Rd, East Haven, CT, 06513-2037
person
Provider Profile Details
NPI Number
1174004782
Provider Name
Ebony Tasha Johnson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
444 Foxon Rd, East Haven, CT, 06513-2037
Phone Number
203-533-5911
Fax Number
475-238-6372
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008082536 05 CT
7774 01 CT APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
444 Foxon Rd
City
State
Zip
06513-2037
Phone Number
203-533-5911
Fax Number
475-238-6372
person
Provider Business Mailing Address Details
Address
444 Foxon Rd
City
State
Zip
06513-2037
Phone Number
203-533-5911
Fax Number
475-238-6372
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
7774 (Connecticut)
Definition
Definition to come...
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