Individual provider · Type 1 NPI

Nicole Nyesha Johnson, LPN

Licensed Psychiatric Technician · Philadelphia, PA

NPI number 1639908882 Active

Practice location

514 S 57th St # A
Philadelphia, PA 19143-1928

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPN295419 (PA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1639908882

Nicole Nyesha Johnson, LPN's National Provider Identifier is 1639908882, issued on Jul 27, 2024. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 27, 2024.