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Shavaun J Johnson
Psychiatric/Mental Health Nurse Practitioner in Mesa, Arizona
NPI 1225624729

Shavaun J Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Mesa, AZ and is specialized in Psychiatric/Mental Health. Shavaun J Johnson practices in Mesa, AZ. The NPI Number for Shavaun J Johnson is 1225624729 and holds a License No. 1014481 (Arizona).

The current practice location address for Shavaun J Johnson is 2135 E University Dr Ste 120, Mesa, AZ and can be reached out via phone at 488-788-7651.

Location: 2135 E University Dr Ste 120, Mesa, AZ, 85213-8335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225624729
Provider Name
Shavaun J Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2135 E University Dr Ste 120, Mesa, AZ, 85213-8335
Phone Number
488-788-7651
Fax Number
Provider Enumeration Date
12/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2135 E University Dr Ste 120
City
Mesa
State
Arizona
Zip
85213-8335
Phone Number
488-788-7651
Fax Number
person
Provider Business Mailing Address Details
Address
2135 E University Dr Ste 120
City
Mesa
State
Arizona
Zip
85213-8335
Phone Number
488-788-7651
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1014481 (Texas)
Definition
Definition to come...
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