Individual provider · Type 1 NPI
Imani Johnson
Student in an Organized Health Care Education/Training Program · Shady Side, MD
NPI number
1417761602
Active
Practice location
1200 Grove Ave
Shady Side, MD 20764-9536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1417761602
Imani Johnson's National Provider Identifier is 1417761602, issued on Feb 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shady Side, MD. The record was last updated on Feb 6, 2025.