Individual provider · Type 1 NPI

Shawntalae Johnson, LPN

Licensed Practical Nurse · West Henrietta, NY

NPI number 1104199272 Active

Practice location

26 Blazing Star Cir
West Henrietta, NY 14586-9335

Call (585) 719-6875 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X308498 (NY)

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 1104199272

Shawntalae Johnson, LPN's National Provider Identifier is 1104199272, issued on Feb 20, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in West Henrietta, NY. The record was last updated on Feb 20, 2012.