Individual provider · Type 1 NPI
Ebony Talise Johnson, BSN-RN
Home Infusion Agency · Chicago, IL
NPI number
1922813401
Active
Practice location
1216 West 97th Place
Chicago, IL 60643
Mailing address
1216 W 97th Pl
Chicago, IL 60643-1420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | 041418831 (IL) |
| Home Infusion Agency | 251F00000X | 28293616A (IN) |
| Infusion Therapy Clinic/Center | 261QI0500X | 041418831 (IL) |
| Home Infusion Agency Primary | 251F00000X | 041418831 (IL) |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 041418831 (IL) |
| Infusion Therapy Registered Nurse | 163WI0500X | 28293616A (IN) |
| Infusion Therapy Registered Nurse | 163WI0500X | 041418831 (IL) |
Home Infusion Agency: Definition to come...
About NPI 1922813401
Ebony Talise Johnson, BSN-RN's National Provider Identifier is 1922813401, issued on Feb 11, 2025. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 11, 2025.