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NPI Code Detail

MEDICARE: JANET NICOLE JOHNSON PMHNP

MEDICARE:   JANET NICOLE JOHNSON  PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15307900NJ

General Provider Information

NPI Number : 1083400535
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET NICOLE JOHNSON PMHNP
Provider Business Mailing Address
First Line : 1737 QUINCY ST
Second Line :
City : PISCATAWAY
State : NJ
Zip : 08854-1637
Country : US
Telephone Number : 732-917-5918
Fax Number :
Provider Business Practice Location Address
First Line : 1900 RARITAN RD
Second Line :
City : SCOTCH PLAINS
State : NJ
Zip : 07076-2963
Country : US
Telephone Number : 908-889-7780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2025
Last Update Date : 04/18/2025

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