Provider Demographics
NPI:1770742785
Name:JOHNSON, JANET H (ANP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:H
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ANP
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1458
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-241-5544
Mailing Address - Fax:212-860-7416
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BOX 1458
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-5544
Practice Address - Fax:212-860-7416
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY310837363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner