Individual provider · Type 1 NPI
Tiffanii Sharee Johnson
Acute Care Nurse Practitioner · Grantsville, UT
NPI number
1104622182
Active
Practice location
408 Zachary Way
Grantsville, UT 84029-9777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 8716958-4405 (UT) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 8716958-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1104622182
Tiffanii Sharee Johnson's National Provider Identifier is 1104622182, issued on Feb 20, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grantsville, UT. The record was last updated on Mar 31, 2026.