EBONY TASHA JOHNSON

SOUTHINGTON, CT
NPI1174004782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  7774)
Enumeration Date2018-08-22
Last Update Date2025-01-28
Business Address
Ms. EBONY TASHA JOHNSON APRN
462 QUEEN ST FL 3
SOUTHINGTON, CT 06489-1801
Phone number: 860-696-2240
Mailing Address
Ms. EBONY TASHA JOHNSON APRN
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4337
Phone number: