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THORNELL JOHNSON I
NPI 1063203099
Licensed Practical Nurse in La Plata, MD

Active since May 17, 2025
906 HICKORY CIR, LA PLATA, MD 20646(240) 715-2852 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thornell Johnson I NPPES

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

THORNELL JOHNSON I (NPI 1063203099) is an individual licensed practical nurse in La Plata, Maryland, licensed in Maryland (LP53308) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1063203099
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTHORNELL JOHNSON I
Location Address906 HICKORY CIRLa Plata, MD 20646-3213
Mailing Address906 Hickory CirLa Plata, MD 20646-3213 · (240) 715-2852
Phone(240) 715-2852
Sole ProprietorNo
Enumeration DateMay 17, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1063203099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MD · LP53308
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.
906 HICKORY CIR, La Plata, MD 20646
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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 Thornell Johnson's NPI number?

The NPI number for Thornell Johnson is 1063203099. It was assigned to this individual provider in the NPPES registry on May 17, 2025.

Where is Thornell Johnson located?

Thornell Johnson practices at 906 Hickory Cir, La Plata, MD 20646. The listed phone number is (240) 715-2852.

What is Thornell 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 Thornell Johnson was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.