Individual provider · Type 1 NPI

Nichelle Rynette Johnson, LPN

Licensed Practical Nurse · Maricopa, AZ

NPI number 1386977130 Active

Practice location

44150 W Maricopa Casa Grande Hwy
Maricopa, AZ 85138-5900

Mailing address

19522 N Comet Trl
Maricopa, AZ 85138-5814

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN044382 (AZ)

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 1386977130

Nichelle Rynette Johnson, LPN's National Provider Identifier is 1386977130, issued on Sep 11, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maricopa, AZ. The record was last updated on Sep 11, 2009.