Individual provider · Type 1 NPI

Thornell Johnson I

Licensed Practical Nurse · La Plata, MD

NPI number 1063203099 Active

Practice location

906 Hickory Cir
La Plata, MD 20646-3213

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP53308 (MD)

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.

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About NPI 1063203099

Thornell Johnson I's National Provider Identifier is 1063203099, issued on May 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in La Plata, MD. The record was last updated on May 17, 2025.