Search › Connecticut › 163W00000X
Yanawn Johnson
NPI 1992656623 · on the registry since 2026 · sole proprietor
Practice
- Address
- 160 Windermere Ave Apt 5404
Ellington, CT 06029 - Phone
- (901) 270-0064
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
- Licence states on file
- MA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-09
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 Connecticut