Ishmecka Johnson
Licensed Practical Nurse in Tampa, FL. Individual provider (NPI-1).
NPI number1043663388
StatusActive
Last updated in NPPESJul 22, 2016
Details
- NPI
- 1043663388
- Entity type
- Individual (NPI-1)
- Name
- Ishmecka Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2016
- Last updated
- Jul 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | pn5216805 | FL | Yes |
Practice location
5707 N 22nd StTampa, FL 33610-4350
Phone 813-239-8069 · Fax 813-231-7324
Mailing address
5707 N 22nd StTampa, FL 33610-4350
Phone 813-239-8069 · Fax 813-231-7324
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