Individual provider · Type 1 NPI

Tierra Lashelle Johnson

Licensed Practical Nurse · Dayton, OH

NPI number 1275207631 Active

Practice location

3097 Silver Rock Ave
Dayton, OH 45414-2358

Mailing address

7301 Poe Ave
Dayton, OH 45414-2559

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.177483 (OH)

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 1275207631

Tierra Lashelle Johnson's National Provider Identifier is 1275207631, issued on Aug 9, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Aug 9, 2021.