Charysse Johnson, PA-C
NPI #1740684901 in West Hartford, Connecticut
Provider Information
- NPI Number
- 1740684901
- Entity Type
- Individual
- Name
- Charysse Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 17, 2014
- Last Updated
- Mar 31, 2016
Practice Location
- Address
- 1030 BOULEVARD
- City
- West Hartford
- State
- Connecticut
- ZIP Code
- 06119-1801
- Phone
- (860) 986-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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