Individual provider · Type 1 NPI

Derekia Johnson

Licensed Practical Nurse · Jacksonville, FL

NPI number 1295350015 Active

Practice location

8278 Golden Bamboo Dr
Jacksonville, FL 32219-6012

Call (904) 616-8677 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5214949 (FL)
Pediatric Skilled Nursing Facility 3140N1450XNone listed

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 1295350015

Derekia Johnson's National Provider Identifier is 1295350015, issued on Jun 8, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 8, 2020.