NPI 1003250101

Tyreasea Anicha Johnson-Mason, NP

Practitioner Psychiatric/Mental Health Nurse Practitioner Haddon Township, NJ

Practice location

Address: 215 Highland Ave STE 100, Haddon Township, NJ 08108-2634
Phone: (609) 350-4792
Fax: (856) 823-1922

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 26NJ00429100 (NJ)

Other Nurse Practitioner providers in New Jersey →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence SP012833 (PA)

Registry record

NPI: 1003250101
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2013
Record last updated: 15 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.