Individual provider · Type 1 NPI

Carolyn Johnson

Licensed Vocational Nurse · Tyler, TX

NPI number 1093215543 Active

Practice location

2310 Buck Dr
Tyler, TX 75701-2406

Call (903) 216-7229 Map

Mailing address

755 S Beckham Ave
Tyler, TX 75701-1903

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	074266 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1093215543

Carolyn Johnson's National Provider Identifier is 1093215543, issued on Feb 20, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Tyler, TX. The record was last updated on Feb 20, 2018.