person
Ms. Tanisha Johnson, LPN
Licensed Practical Nurse in New Haven, Connecticut
NPI 1316360134

Tanisha Johnson is a Licensed Practical Nurse based in New Haven, CT. Tanisha Johnson practices in New Haven, CT and has the professional credentials of LPN. The NPI Number for Tanisha Johnson is 1316360134 and holds a License No. 33133 (Connecticut).

The current practice location address for Tanisha Johnson is 495 Congress Ave, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624. You can also correspond with Tanisha Johnson through the mailing address at 1 LONG WHARF DR, NEW HAVEN, CT - 06511-5991 (mailing address contact number: 203-781-4600).

Location: 495 Congress Ave, New Haven, CT, 06511-5991
person
Provider Profile Details
NPI Number
1316360134
Provider Name
Tanisha Johnson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
495 Congress Ave, New Haven, CT, 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
01/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008022622 05 CT
008001325 05 CT
004082260 05 CT
institution
Provider Business Practice Location Address Details
Address
495 Congress Ave
City
State
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr
City
State
Zip
06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
33133 (Connecticut)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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