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Shane Johnson
Licensed Practical Nurse in Canton, Ohio
NPI 1508258567

Shane Johnson is a Licensed Practical Nurse based in Canton, OH. Shane Johnson practices in Canton, OH. The NPI Number for Shane Johnson is 1508258567 and holds a License No. PN-143859-M-IV (Ohio).

The current practice location address for Shane Johnson is 927 Smith Ave Sw, Canton, OH and can be reached out via phone at 234-300-1630.

Location: 927 Smith Ave Sw, Canton, OH, 44706-1468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508258567
Provider Name
Shane Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
927 Smith Ave Sw, Canton, OH, 44706-1468
Phone Number
234-300-1630
Fax Number
Provider Enumeration Date
02/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
927 Smith Ave Sw
City
Canton
State
Ohio
Zip
44706-1468
Phone Number
234-300-1630
Fax Number
person
Provider Business Mailing Address Details
Address
927 Smith Ave Sw
City
Canton
State
Ohio
Zip
44706-1468
Phone Number
234-300-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN-143859-M-IV (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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