Individual provider · Type 1 NPI

Tiesha Tamara Johnson, RN

Registered Nurse · South Daytona, FL

NPI number 1700712643 Active

Practice location

2322 S Palmetto Ave
South Daytona, FL 32119-3093

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X9672022 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

Other registered nurse providers in South Daytona

See all in South Daytona →

About NPI 1700712643

Tiesha Tamara Johnson, RN's National Provider Identifier is 1700712643, issued on Jun 19, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in South Daytona, FL. The record was last updated on Jun 19, 2026.