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JACQUELINE JOHNSON
NPI 1215110705
Licensed Practical Nurse in Bronx, NY

Active since December 07, 2007
1039 E 212TH ST, BRONX, NY 10469(718) 231-3364 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Johnson NPPES

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

JACQUELINE JOHNSON (NPI 1215110705) is an individual licensed practical nurse in Bronx, New York, licensed in New York (286792-1) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1215110705
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE JOHNSON
Location Address1039 E 212TH STBronx, NY 10469-1314
Mailing Address1039 E 212th StBronx, NY 10469-1314 · (718) 231-3364
Phone(718) 231-3364
Sole ProprietorYes
Enumeration DateDecember 7, 2007
✔ NPI 1215110705 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 NY · 286792-1
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.
1039 E 212TH ST, Bronx, NY 10469
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Other Identifiers 1

Medicaid02827163NY

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 Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1215110705. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Jacqueline Johnson located?

Jacqueline Johnson practices at 1039 E 212th St, Bronx, NY 10469. The listed phone number is (718) 231-3364.

What is Jacqueline 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 Jacqueline Johnson was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.