Individual provider · Type 1 NPI

Shylieca Johnson

Licensed Practical Nurse · Vancouver, WA

NPI number 1619854478 Active

Practice location

4708 NE Salmon Creek St
Vancouver, WA 98686-1606

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10003716 (OR)

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 1619854478

Shylieca Johnson's National Provider Identifier is 1619854478, issued on Aug 21, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 21, 2025.