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BRANDY NICOLE JOHNSON LPN
NPI 1003042367
Licensed Practical Nurse in Central Square, NY

Active since June 01, 2009
58 BERT HOWARD DR, CENTRAL SQUARE, NY 13036(315) 450-4577(315) 668-1346 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brandy Nicole Johnson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDY NICOLE JOHNSON LPN (NPI 1003042367) is an individual licensed practical nurse in Central Square, New York, licensed in New York (10 273949) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1003042367
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRANDY NICOLE JOHNSONCredential: LPN
Location Address58 BERT HOWARD DRCentral Square, NY 13036-2391
Mailing Address58 Bert Howard DrCentral Square, NY 13036-2391 · (315) 450-4577 · Fax (315) 668-1346
Phone(315) 450-4577
Fax(315) 668-1346
Sole ProprietorYes
Enumeration DateJune 1, 2009
✔ NPI 1003042367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in NY · 10 273949✔ Licensed in CT · 033832
Definition
A licensed practical nurse 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.
58 BERT HOWARD DR, Central Square, NY 13036
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandy Johnson's NPI number?

The NPI number for Brandy Johnson is 1003042367. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Brandy Johnson located?

Brandy Johnson practices at 58 Bert Howard Dr, Central Square, NY 13036. The listed phone number is (315) 450-4577.

What is Brandy Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brandy Johnson was last updated on June 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.