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Shereka A Johnson
Adult Health Nurse Practitioner in Goshen, New York
NPI 1558665018

Shereka A Johnson is an Adult Health Nurse Practitioner based in Pomona, NY and is specialized in Adult Health. Shereka A Johnson practices in Goshen, NY. The NPI Number for Shereka A Johnson is 1558665018 and holds a License No. 298220 (New York).

The current practice location address for Shereka A Johnson is 15 Matthews St, Goshen, NY and can be reached out via phone at 347-393-6500.

Location: 15 Matthews St, Goshen, NY, 10970-0355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558665018
Provider Name
Shereka A Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Matthews St, Goshen, NY, 10970-0355
Phone Number
347-393-6500
Fax Number
Provider Enumeration Date
12/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NY 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Matthews St
City
Goshen
State
New York
Zip
10924-1995
Phone Number
347-393-6500
Fax Number
person
Provider Business Mailing Address Details
Address
15 Matthews St
City
Goshen
State
New York
Zip
10924-1995
Phone Number
347-393-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
F310116-01 (New York)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
298220 (New York)
Definition
Definition to come...
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