Johneshia Gagum-wilson, LPN - Licensed Practical Nurse in New Haven, CT

Johneshia Gagum-wilson, LPN is a Licensed Practical Nurse based in New Haven, Connecticut. Johneshia Gagum-wilson is licensed to practice in Connecticut (license number 038725) and her current practice location is 1 Long Wharf Dr, New Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 781-4600.

NPI number for Johneshia Gagum-wilson is 1285047324 and her current mailing address is 1 Long Wharf Dr, New Haven, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285047324.

Contact Information

Johneshia Gagum-wilson, LPN
1 Long Wharf Dr,
New Haven, CT 06511-5991
(203) 781-4600
(203) 781-4624



Provider's Profile

Full NameJohneshia Gagum-wilson
GenderFemale
SpecialityLicensed Practical Nurse
Location1 Long Wharf Dr, New Haven, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285047324
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 06/06/2014

Medical Identifiers

Medical identifiers for Johneshia Gagum-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285047324NPI-NPPES
008003745MedicaidCT
004041000MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 038725 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johneshia Gagum-wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johneshia Gagum-wilson, LPN
1 Long Wharf Dr,
New Haven, CT 06511-5991

Ph: (203) 781-4600
Johneshia Gagum-wilson, LPN
1 Long Wharf Dr,
New Haven, CT 06511-5991

Ph: (203) 781-4600

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› Verified 7 days ago


Licensed Practical Nurse Nurses in New Haven, CT

Heidi Clarke, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-781-4600    Fax: 203-781-4624
Beverly Brazzell, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-781-4600    Fax: 203-781-4624
Miss Tia Marie Edwards, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-781-4600    Fax: 203-781-4624
Dianna Gabrielle Celano, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 495 Congress Ave, New Haven, CT 06519
Phone: 203-752-8091    
Ms. Denise L Shannon, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 495 Congress Ave, New Haven, CT 06519
Phone: 203-781-4600    Fax: 203-781-4624
Ms. Loretta Gibson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 495 Congress Ave, New Haven, CT 06519
Phone: 203-781-4600    Fax: 203-781-4624
Arlene O'callahan, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-781-4600    Fax: 203-781-4624

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