Individual provider · Type 1 NPI

Jacqueline Johnson

Licensed Practical Nurse · Bronx, NY

NPI number 1215110705 Active

Practice location

1039 E 212th St
Bronx, NY 10469-1314

Call (718) 231-3364 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X286792-1 (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.

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About NPI 1215110705

Jacqueline Johnson's National Provider Identifier is 1215110705, issued on Dec 7, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Dec 7, 2007.