Desirea Johnson

Licensed Practical Nurse · Snellville, GA

Individual Active NPI

NPI number 1114387032

Practice location

4788 Chafin Point Ct
Snellville, GA 30039-3375
Phone
(678) 793-5245

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NPI record

NPI
1114387032
Entity type
Individual (Type 1)
Enumeration date
March 4, 2016
Last updated
March 4, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X LPN069758 GA

About Desirea Johnson

Desirea Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 4788 Chafin Point Ct, Snellville, GA 30039-3375. The NPI number 1114387032 was assigned on March 4, 2016 and the record was last updated on March 4, 2016.

Desirea Johnson lists a license in the registry: #LPN069758 (GA) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Desirea Johnson?

The NPI number is 1114387032.

What is the phone number of Desirea Johnson?

The phone number listed for the practice location is (678) 793-5245.

Where is Desirea Johnson located?

4788 Chafin Point Ct, Snellville, GA 30039-3375.

What is the taxonomy code for Desirea Johnson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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