SHANAE GENISE JOHNSON
NPI 1114435450
Licensed Practical Nurse in Queens Village, NY
- Individual
- Female
- Licensed Practical Nurse
About SHANAE JOHNSON
This page provides the complete NPI Profile along with additional information for Shanae Johnson, a provider established in Queens Village, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1114435450 assigned on January 2018. The practitioner's primary taxonomy code is 164W00000X with license number 330534 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1114435450 Verify this NPI
- Provider Name
- SHANAE GENISE JOHNSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9358 208TH ST QUEENS VILLAGE, NY 11428
- Location Phone
- (718) 612-5402
- Location Fax
- (718) 612-5402
- Mailing Address
- 9358 208TH ST QUEENS VILLAGE, NY 11428
- Mailing Phone
- (718) 612-5402
- Mailing Fax
- (718) 612-5402
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-22-2018
- Last Update Date
- 01-22-2018
- Code Navigator
Location Map
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 Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 330534
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114435450, enumerated as an "individual" on January 22, 2018.
The provider is located at 9358 208TH ST QUEENS VILLAGE, NY 11428 and the phone number is (718) 612-5402.
Licensed Practical Nurse with taxonomy code 164W00000X.
