Johneshia Gagum-Wilson, LPN
Licensed Practical Nurse in New Haven, Connecticut
1285047324- Practice location
- 1 Long Wharf Dr, New Haven, CT 06511-5991
- Phone
- 203-781-4600
- Fax
- 203-781-4624
- Last updated
- June 6, 2014
Johneshia Gagum-Wilson is a Licensed Practical Nurse based in New Haven, CT. Johneshia Gagum-Wilson practices in New Haven, CT and has the professional credentials of LPN. The NPI Number for Johneshia Gagum-Wilson is 1285047324 and holds a License No. 038725 (CT). The current practice location address for Johneshia Gagum-Wilson is 1 Long Wharf Dr, New Haven, CT 06511-5991 and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.
Provider Profile Details
- NPI Number
- 1285047324
- Provider Name
- Johneshia Gagum-Wilson
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Long Wharf Dr, New Haven, CT 06511-5991
- Phone Number
- 203-781-4600
- Fax Number
- 203-781-4624
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2014
- Last Update Date
- June 6, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Long Wharf Dr
New Haven, CT 06511-5991 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5991
- Phone Number
- 203-781-4600
- Fax Number
- 203-781-4624
Provider Business Mailing Address Details
- Address
- 1 Long Wharf Dr
New Haven, CT 06511-5991 - City
- New Haven
- State
- CT
- Zip
- 06511-5991
- Phone Number
- 203-781-4600
- Fax Number
- 203-781-4624
License Information
- License Number
- 038725
- License State
- CT
- Taxonomy
- Licensed Practical Nurse · 164W00000X · 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 Johneshia Gagum-Wilson, LPN?
The NPI number of Johneshia Gagum-Wilson, LPN is 1285047324. It was assigned on June 6, 2014 and is currently active in the NPPES registry.
What is the specialty of Johneshia Gagum-Wilson, LPN?
Johneshia Gagum-Wilson, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CT under license number 038725.
Where does Johneshia Gagum-Wilson, LPN practice?
The practice location is 1 Long Wharf Dr, New Haven, CT 06511-5991. The office can be reached at 203-781-4600 (phone) or 203-781-4624 (fax).
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 1285047324 directly on the NPPES registry website.