Individual provider · Type 1 NPI

Kellie Diann Johnson

Licensed Vocational Nurse · Huntsville, TX

NPI number 1750690004 Active

Practice location

1412 15th St
Huntsville, TX 77340-4430

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	221883 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1750690004

Kellie Diann Johnson's National Provider Identifier is 1750690004, issued on Oct 5, 2010. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Huntsville, TX. The record was last updated on Oct 5, 2010.