Individual provider · Type 1 NPI

Shelby Johnson, LPN

Licensed Practical Nurse · Fulton, NY

NPI number 1972085900 Active

Practice location

4219 State Route 3
Fulton, NY 13069-3640

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X315707 (NY)

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 1972085900

Shelby Johnson, LPN's National Provider Identifier is 1972085900, issued on Sep 6, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fulton, NY. The record was last updated on Sep 6, 2018.