Jordan Isaiah Johnson, LPN
Licensed Practical Nurse in South Euclid, OH. Individual provider (NPI-1).
NPI number1871018366
StatusActive
Last updated in NPPESAug 7, 2017
Details
- NPI
- 1871018366
- Entity type
- Individual (NPI-1)
- Name
- Jordan Isaiah Johnson
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2017
- Last updated
- Aug 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN.143733.MEDS-IV | OH | Yes |
Practice location
4503 Edmond DrSouth Euclid, OH 44121-3907
Phone 216-990-6189
Mailing address
4503 Edmond DrSouth Euclid, OH 44121-3907
Phone 216-990-6189
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All 40 Licensed Practical Nurse providers in South Euclid · All 750 providers in South Euclid
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