Charysse Johnson, PA-C
Physician Assistant in West Hartford, Connecticut
1740684901- Practice location
- 1030 Boulevard, West Hartford, CT 06119-1801
- Phone
- 860-986-6440
- Fax
- —
- Last updated
- March 31, 2016
Charysse Johnson is a Physician Assistant based in West Hartford, CT. Charysse Johnson practices in West Hartford, CT and has the professional credentials of PA-C. The NPI Number for Charysse Johnson is 1740684901 and holds a License No. 3209 (CT). The current practice location address for Charysse Johnson is 1030 Boulevard, West Hartford, CT 06119-1801 and can be reached out via phone at 860-986-6440.
Provider Profile Details
- NPI Number
- 1740684901
- Provider Name
- Charysse Johnson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1030 Boulevard, West Hartford, CT 06119-1801
- Phone Number
- 860-986-6440
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Charysse Brown, PA (Former Name)
- Provider Enumeration Date
- October 17, 2014
- Last Update Date
- March 31, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1030 Boulevard
West Hartford, CT 06119-1801 - City
- West Hartford
- State
- Connecticut
- Zip
- 06119-1801
- Phone Number
- 860-986-6440
Provider Business Mailing Address Details
- Address
- 18 Townley St Apt H3
Hartford, CT 06105-1864 - City
- Hartford
- State
- CT
- Zip
- 06105-1864
- Phone Number
- 917-302-5899
License Information
- License Number
- 3209
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · 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 Charysse Johnson, PA-C?
The NPI number of Charysse Johnson, PA-C is 1740684901. It was assigned on October 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Charysse Johnson, PA-C?
Charysse Johnson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 3209.
Where does Charysse Johnson, PA-C practice?
The practice location is 1030 Boulevard, West Hartford, CT 06119-1801. The office can be reached at 860-986-6440 (phone).
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 1740684901 directly on the NPPES registry website.