Organization · Type 2 NPI

Light at the End PLLC

Psychiatric/Mental Health Nurse Practitioner · Queen Creek, AZ

NPI number 1114690401 Active

Practice location

21168 E Ocotillo Rd # 1045
Queen Creek, AZ 85142-8175

Fax (866) 491-7389

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Another provider at this address

Shavaun Johnson, NPPsychiatric/Mental Health Nurse Practitioner Queen Creek, AZ NPI 1225624729

Other psychiatric/mental health nurse practitioner providers in Queen Creek

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NPI record

NPI: 1114690401
Entity type: Organization (Type 2)
Issued: Aug 1, 2021
Last updated: Jan 2, 2026
Status: Active

Other names

<unavail>
Light at the End Behavioral Health Services · doing business as
Light at the End Behavioral Health Services · doing business as

Authorized official

Shavaun J Johnson, DNP
CEO
(623) 265-6220

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114690401

Light at the End PLLC's National Provider Identifier is 1114690401, issued on Aug 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queen Creek, AZ. The record was last updated on Jan 2, 2026.