Individual provider · Type 1 NPI

Shanae Genise Johnson

Licensed Practical Nurse · Queens Village, NY

NPI number 1114435450 Active

Practice location

9358 208th St
Queens Village, NY 11428-1061

Call (718) 612-5402 Map

Fax (718) 612-5402

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X330534 (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.

Other licensed practical nurse providers in Queens Village

See all in Queens Village →

About NPI 1114435450

Shanae Genise Johnson's National Provider Identifier is 1114435450, issued on Jan 22, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Queens Village, NY. The record was last updated on Jan 22, 2018.