Johnson-Bradshaw, Tenesha

Johnson-Bradshaw, Tenesha is an individual health care provider with primary practice located at 210 Westchester Ave , West Harrison NY 10604-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson-Bradshaw, Tenesha can be contacted via phone (914) 305-2700.

Contact Information

Primary practice address
210 Westchester Ave West Harrison NY 10604-2901
Phone: (914) 305-2700
Fax: (914) 305-2701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 340475 New York

Profile Details

NPI number 1699122317
LBN Legal business name Johnson-Bradshaw, Tenesha
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2016
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699122317 NPPES
New York MEDICAID PENDING

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