Individual provider · Type 1 NPI

Shallon Tennille Johnson, FNP-C

Family Nurse Practitioner · North Jackson, OH

NPI number 1104660273 Active

Practice location

10850 Mahoning Ave
North Jackson, OH 44451-8705

Fax (234) 888-7281

Other practice locations

  • 5760 Patriot Blvd, Austintown, OH 44515-1170 · (330) 953-0243

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0037086 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1104660273

Shallon Tennille Johnson, FNP-C's National Provider Identifier is 1104660273, issued on Jun 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Jackson, OH. The record was last updated on Aug 27, 2025.