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Shannon Nicole Johnson
Student in an Organized Health Care Education/Training Program in Lewistown, Pennsylvania
NPI 1891336186

Shannon Nicole Johnson is a Student in an Organized Health Care Education/Training Program based in Bethlehem, PA. Shannon Nicole Johnson practices in Lewistown, PA. The NPI Number for Shannon Nicole Johnson is 1891336186 and holds a License No. PSL001207 (Pennsylvania).

The current practice location address for Shannon Nicole Johnson is 276 Green Ave Ext, Lewistown, PA and can be reached out via phone at 610-849-6317.

Location: 276 Green Ave Ext, Lewistown, PA, 18020-1282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891336186
Provider Name
Shannon Nicole Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
276 Green Ave Ext, Lewistown, PA, 18020-1282
Phone Number
610-849-6317
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
276 Green Ave Ext
City
Lewistown
State
Pennsylvania
Zip
17044-9707
Phone Number
610-849-6317
Fax Number
person
Provider Business Mailing Address Details
Address
276 Green Ave Ext
City
Lewistown
State
Pennsylvania
Zip
17044-9707
Phone Number
610-849-6317
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PSL001207 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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