Individual provider · Type 1 NPI

Anastacia Michelle Johnson

Registered Nurse · Philadelphia, PA

NPI number 1235046491 Active

Practice location

2301 S Broad St
Philadelphia, PA 19148-3542

Mailing address

119 Flintlock Rd
Newark, DE 19713-3029

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XL1-0074435 (DE)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1235046491

Anastacia Michelle Johnson's National Provider Identifier is 1235046491, issued on Aug 25, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 25, 2026.