Individual provider · Type 1 NPI
Charles Miller Johnson Jr., LVN
Licensed Practical Nurse · San Diego, CA
NPI number
1063744571
Active
Practice location
1020 Robinson Ave Apt 2
San Diego, CA 92103-4473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 300231 (NY) |
| Licensed Vocational Nurse | 164X00000X | VN251826 (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.
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About NPI 1063744571
Charles Miller Johnson Jr., LVN's National Provider Identifier is 1063744571, issued on Feb 8, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 3, 2014.