Individual provider · Type 1 NPI

Kaliyah Shanice Johnson, NA

Nurse's Aide · Myrtle Beach, SC

NPI number 1073408910 Active

Practice location

124 Waterford Pointe Cir Unit 2206
Myrtle Beach, SC 29579-2708

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X10097321 (SC)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1073408910

Kaliyah Shanice Johnson, NA's National Provider Identifier is 1073408910, issued on Jun 11, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 11, 2025.