Shardae Johnson
Licensed Practical Nurse · Austell, GA
Practice location
676 Tomahawk PlAustell, GA 30168-6336
- Phone
- (217) 766-6188
NPI record
- NPI
- 1164305819
- Entity type
- Individual (Type 1)
- Enumeration date
- July 29, 2025
- Last updated
- July 29, 2025
- Certified
- July 29, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
LPN100702 | GA |
About Shardae Johnson
Shardae Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 676 Tomahawk Pl, Austell, GA 30168-6336. The NPI number 1164305819 was assigned on July 29, 2025 and the record was last updated on July 29, 2025.
Shardae Johnson lists a license in the registry: #LPN100702 (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 Shardae Johnson?
The NPI number is 1164305819.
What is the phone number of Shardae Johnson?
The phone number listed for the practice location is (217) 766-6188.
Where is Shardae Johnson located?
676 Tomahawk Pl, Austell, GA 30168-6336.
What is the taxonomy code for Shardae 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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