Tyreasea Anicha Johnson-Mason
Nurse Practitioner - Psychiatric/Mental Health
215 Highland Ave Ste 100
Haddon Township
, New Jersey 08108-2634
Tyreasea Anicha Johnson-Mason
Nurse Practitioner - Psychiatric/Mental Health
215 Highland Ave Ste 100
Haddon Township
, New Jersey 08108-2634
(856) 823-1922
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Tyreasea Anicha Johnson-Mason
- 215 Highland Ave Ste 100
- Haddon Township, NJ
- Zip : 08108-2634
- Fax : (856) 823-1922
- Phone : (609) 350-4792
Second Address
- Tyreasea Anicha Johnson-Mason
- 215 Highland Ave Ste 100
- Haddon Township, NJ
- Zip : 08108-2634
- Fax : (856) 823-1922
- Phone : (609) 350-4792
Reviews
FAQs
Where did Tyreasea Anicha Johnson-Mason attend graduate school?
Where did Tyreasea Anicha Johnson-Mason do her residency?
Where did Tyreasea Anicha Johnson-Mason do her fellowship?
Is Tyreasea Anicha Johnson-Mason board certified?
What type of doctor is Tyreasea Anicha Johnson-Mason
In what state does Tyreasea Anicha Johnson-Mason practice in?
Where is Tyreasea Anicha Johnson-Mason ’s practice located?
What is Tyreasea Anicha Johnson-Mason ’s gender?
Is Tyreasea Anicha Johnson-Mason a sole practitioner?
Is Tyreasea Anicha Johnson-Mason accepting new patients?
What languages does Tyreasea Anicha Johnson-Mason speak?
Does Tyreasea Anicha Johnson-Mason accept insurance?
Does Tyreasea Anicha Johnson-Mason offers telemedicine?
What is Tyreasea Anicha Johnson-Mason ’s professional license number?
What is Tyreasea Anicha Johnson-Mason ’s NPI number?
Does Tyreasea Anicha Johnson-Mason have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00429100 | NJ |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP012833 | PA |
National Provider Identifier
| NPI | 1003250101 |
|---|---|
| Provider Name | Tyreasea Anicha Johnson-Mason |
| First Address | Haddon Township, NJ 08108-2634 |
| Second Address | Haddon Township, NJ 08108-2634 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2013 |
| Last Update Date | 15/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0379077 | (05) | NJ |
| 1003250101 | NPI (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.