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Search › Pennsylvania › 363LW0102X

Ebony Johnson, CRNP, WHNP-BC

NPI 1275967085 · on the registry since 2013 · sole proprietor

Practice

Address
1080 N Delaware Ave
Suite 300d
Philadelphia, PA 19125
Phone
(215) 287-2114
Organisation at this address
Shalom Inc
Shalom Inc.
Absolutecare Of Philadelphia, Llc
Absolutecare Of Philadelphia, Llc
Children'S Crisis Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
163W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania