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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN.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.