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Melissa Alice Johnson, FNP
Family Nurse Practitioner in Mineola, New York
NPI 1699309575

Melissa Alice Johnson is a Family Nurse Practitioner based in East Setauket, NY and is specialized in Family. Melissa Alice Johnson practices in Mineola, NY and has the professional credentials of FNP. The NPI Number for Melissa Alice Johnson is 1699309575 and holds a License No. 345498 (New York).

The current practice location address for Melissa Alice Johnson is 120 Mineola Blvd Ste 100, Mineola, NY and can be reached out via phone at 516-663-3010.

Location: 120 Mineola Blvd Ste 100, Mineola, NY, 11733-4064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699309575
Provider Name
Melissa Alice Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
120 Mineola Blvd Ste 100, Mineola, NY, 11733-4064
Phone Number
516-663-3010
Fax Number
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd Ste 100
City
Mineola
State
New York
Zip
11501-4077
Phone Number
516-663-3010
Fax Number
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd Ste 100
City
Mineola
State
New York
Zip
11501-4077
Phone Number
516-663-3010
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
345498 (New York)
Definition
Definition to come...
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