Shunte A Johnson, LPN
Licensed Practical Nurse in Columbus, OH. Individual provider (NPI-1).
NPI number1962046375
StatusActive
Last updated in NPPESOct 30, 2019
Details
- NPI
- 1962046375
- Entity type
- Individual (NPI-1)
- Name
- Shunte A Johnson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2019
- Last updated
- Oct 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 169457 | OH | Yes |
Practice location
1380 Dublin Rd Ste 100Columbus, OH 43215-1025
Phone 614-488-7117
Mailing address
649 Carpenter RdgColumbus, OH 43228-9065
Phone 740-803-8394
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