Individual provider · Type 1 NPI
Ilyasah Q. Johnson, CNA, PBT
Phlebotomy Technician · Egg Harbor City, NJ
NPI number
1326859570
Active · reactivated Jan 27, 2025
Practice location
115 Philadelphia Ave, Ste B #224
Egg Harbor City, NJ 08215-1200
Mailing address
890 E Walnut Rd Apt 38
Vineland, NJ 08360-5040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | NA200036261 (NJ) |
| Phlebotomy Technician Primary | 246RP1900X | 5460-23 (NJ) |
Phlebotomy Technician: Definition to come...
Another provider at this address
About NPI 1326859570
Ilyasah Q. Johnson, CNA, PBT's National Provider Identifier is 1326859570, issued on Jan 16, 2025. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Egg Harbor City, NJ. The record was last updated on Jan 27, 2025.