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Shawanda L Johnson
Licensed Practical Nurse in Dayton, Ohio
NPI 1154818086

Shawanda L Johnson is a Licensed Practical Nurse based in Dayton, OH. Shawanda L Johnson practices in Dayton, OH. The NPI Number for Shawanda L Johnson is 1154818086 and holds a License No. 167879 (Ohio).

The current practice location address for Shawanda L Johnson is 3782 Heatherstone Dr, Dayton, OH and can be reached out via phone at 937-684-6940.

Location: 3782 Heatherstone Dr, Dayton, OH, 45417-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154818086
Provider Name
Shawanda L Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3782 Heatherstone Dr, Dayton, OH, 45417-7003
Phone Number
937-684-6940
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5714756 01 OH DODD PROVIFER
institution
Provider Business Practice Location Address Details
Address
3782 Heatherstone Dr
City
Dayton
State
Ohio
Zip
45417-7003
Phone Number
937-684-6940
Fax Number
person
Provider Business Mailing Address Details
Address
3782 Heatherstone Dr
City
Dayton
State
Ohio
Zip
45417-7003
Phone Number
937-684-6940
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
167879 (Ohio)
Definition
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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