KENYATTA JOHNSON - NPI 1316764863 - Licensed Practical Nurse in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Kenyatta Johnson NPPES

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

KENYATTA JOHNSON (NPI 1316764863) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (351207) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1316764863

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKENYATTA JOHNSON

Location Address254A LAKE AVEStaten Island, NY 10303-2602

Mailing Address254a Lake AveStaten Island, NY 10303-2602 · (718) 502-7608

Phone(718) 502-7608

Sole ProprietorYes

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1316764863 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 · 351207

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.

254A LAKE AVE, Staten Island, NY 10303

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Frequently Asked Questions

What is Kenyatta Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1316764863, enumerated as an "individual" on September 25, 2024.

Where is the provider located?

The provider is located at 254A LAKE AVE STATEN ISLAND, NY 10303 and the phone number is (718) 502-7608.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.