Doctor Name: | JOCELYN O JOHNSON |
NPI Number: | 1033137237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 187677-PC |
Business Practice Address: | 96 N Pleasant St Suite 302b Amherst, MA - 010021717 |
Business Phone Number: | 4132532553 |
Business Fax Number: | 4132532544 |
Mailing Address: | 96 N Pleasant St, Suite 302b AMHERST |
State: | MA |
Postal Code: | 010021717 |
Phone Number: | 4132532553 |
Fax Number: | 4132532544 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 187677-PC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |