CAROLYN JOHNSON
NPI 1093215543
Licensed Vocational Nurse in Tyler, TX

Active since February 20, 2018

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Vocational Nurse

About CAROLYN JOHNSON

This page provides the complete NPI Profile along with additional information for Carolyn Johnson, a provider established in Tyler, Texas with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1093215543 assigned on February 2018. The practitioner's primary taxonomy code is 164X00000X with license number 074266 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1093215543 Verify this NPI
Provider Name
CAROLYN JOHNSON
Gender
Female
Entity Type
Individual
Location Address
2310 BUCK DR TYLER, TX 75701
Location Phone
(903) 216-7229
Mailing Address
755 S BECKHAM AVE TYLER, TX 75701
Mailing Phone
(903) 534-4684
Is Sole Proprietor?
No
Enumeration Date
02-20-2018
Last Update Date
02-20-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
074266
License State
TX
Taxonomy Description
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093215543, enumerated as an "individual" on February 20, 2018.

The provider is located at 2310 BUCK DR TYLER, TX 75701 and the phone number is (903) 216-7229.

Licensed Vocational Nurse with taxonomy code 164X00000X.