Allysa Kylee Johnson, LPN
Licensed Practical Nurse in Corry, PA. Individual provider (NPI-1).
NPI number1962048264
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1962048264
- Entity type
- Individual (NPI-1)
- Name
- Allysa Kylee Johnson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 337007 | NY | Yes |
Practice location
221 1/2 Mott StCorry, PA 16407-1540
Phone 716-489-6602
Mailing address
221 1/2 Mott StCorry, PA 16407-1540
Phone 716-489-6602
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