JESSE F JOHNSON - NPI 1104637958 - Registered Nurse in Capitol Heights, MD

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.

On this page

About Jesse F Johnson NPPES

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

JESSE F JOHNSON (NPI 1104637958) is an individual psychiatric/mental health, child & adolescent provider in Capitol Heights, Maryland, licensed in Maryland (R248465) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1104637958

Entity TypeIndividualMale

Primary Taxonomy163WP0807X

Provider Legal NameJESSE F JOHNSON

Location Address4606 ADDISON RDCapitol Heights, MD 20743-1003

Mailing Address4606 Addison RdCapitol Heights, MD 20743-1003 · (202) 541-9844

Phone(202) 541-9844

Sole ProprietorYes

Enumeration DateJanuary 20, 2025

NPPES CertifiedJanuary 20, 2025

✔ NPI 1104637958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers

Taxonomy Code163WP0807X

License✔ Licensed in MD · R248465

4606 ADDISON RD, Capitol Heights, MD 20743

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KADIATU KARGBO

Nurse's Aide

4606 ADDISON RD
CAPITOL HEIGHTS, MD 20743

Prince George's County (202) 541-9844

LATRE L LAWSON-SISSIBLISSI

Nurse's Aide

4606 ADDISON RD
CAPITOL HEIGHTS, MD 20743

Prince George's County (202) 541-9844

ODETTE A ATAWAN

Home Health Aide

4606 ADDISON RD
CAPITOL HEIGHTS, MD 20743

Prince George's County (202) 541-9844

Frequently Asked Questions

What is Jesse Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1104637958, enumerated as an "individual" on January 20, 2025.

Where is the provider located?

The provider is located at 4606 ADDISON RD CAPITOL HEIGHTS, MD 20743 and the phone number is (202) 541-9844.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.