Jonathan Franklin Johnson Jr., FNP
Nurse Practitioner, Family in New Haven, CT. Individual provider (NPI-1).
NPI number1982102083
StatusActive
Last updated in NPPESOct 15, 2019
Details
- NPI
- 1982102083
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Franklin Johnson Jr.
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2018
- Last updated
- Oct 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8521 | CT | Yes |
| 163W00000X | Registered Nurse | 119709 | CT | |
| 363LF0000X | Nurse Practitioner, Family | 1-167832 | AL |
Practice location
428 Columbus AvenuePediatrics
New Haven, CT 06519-1233
Phone 203-503-3030 · Fax 203-503-3599
Mailing address
400 Columbus AvenueCredentialing Specialist
New Haven, CT 06519-2613
Phone 203-503-3000 · Fax 203-503-6515
Other practice locations
1845 Cherry St
Montgomery, AL 36107-2613
Montgomery, AL 36107-2613
Phone 334-420-5001 · Fax 334-420-0146
7 Kensington Ln Unit 303
Rocky Hill, CT 06067-3638
Rocky Hill, CT 06067-3638
Phone 443-739-6088
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