Individual provider · Type 1 NPI

Roberta Lynn Johnson, LPN

Licensed Practical Nurse · Tacoma, WA

NPI number 1780182584 Active

Practice location

Intrepid Spirit Center 90390 Gardner Loop
Tacoma, WA 98431-0001

Call (253) 968-9017 Map

Mailing address

8634 Quinault Dr NE
Olympia, WA 98516-5826

Other practice locations

Madigan Army Medical Center, 9040 Jacksonave, Attn: Mchj-Clq-C, Tacoma, WA 98431-1100 · (253) 960-9017

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LPN00047974 (WA)

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 1780182584

Roberta Lynn Johnson, LPN's National Provider Identifier is 1780182584, issued on Jan 26, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 17, 2018.