Individual provider · Type 1 NPI

Nicole Johnson

Licensed Vocational Nurse · Lynnwood, WA

NPI number 1104703313 Active

Practice location

2322 196th St SW
Lynnwood, WA 98036-7010

Mailing address

20043 Forest Park Dr NE
Shoreline, WA 98155-1139

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X335371 (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 1104703313

Nicole Johnson's National Provider Identifier is 1104703313, issued on Aug 19, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lynnwood, WA. The record was last updated on Aug 25, 2025.