Individual provider · Type 1 NPI

Tara Shantell Johnson

Licensed Practical Nurse · Corona, CA

NPI number 1033032057 Active

Practice location

280 Teller St Ste 120
Corona, CA 92879-1888

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X229904 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

12 other providers at this address

Other licensed practical nurse providers in Corona

See all in Corona →

About NPI 1033032057

Tara Shantell Johnson's National Provider Identifier is 1033032057, issued on Aug 4, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Corona, CA. The record was last updated on Oct 22, 2026.