Individual provider · Type 1 NPI

Jeremiah Johnson, LVN

Licensed Vocational Nurse · Riverside, CA

NPI number 1922997907 Active

Practice location

17199 Vita Way
Riverside, CA 92503-7315

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X215300 (CA)

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 1922997907

Jeremiah Johnson, LVN's National Provider Identifier is 1922997907, issued on Jul 2, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 2, 2025.