Individual provider · Type 1 NPI

Kenyatta Johnson

Licensed Practical Nurse · Staten Island, NY

NPI number 1316764863 Active

Practice location

254A Lake Ave
Staten Island, NY 10303-2602

Call (718) 502-7608 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X351207 (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 1316764863

Kenyatta Johnson's National Provider Identifier is 1316764863, issued on Sep 25, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 25, 2024.