Doctor Name: | MS. CINDY JO JOHNSON |
NPI Number: | 1457566135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00095300 |
Business Practice Address: | 500 S Pennsville Auburn Rd Carneys Point, NJ - 080692936 |
Business Phone Number: | 8562993200 |
Business Fax Number: | 8562997183 |
Mailing Address: | 410 Springfield Ave, CARNEYS POINT |
State: | NJ |
Postal Code: | 080692901 |
Phone Number: | 8562993200 |
Fax Number: | 8562997183 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 26NJ00095300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |