NICOLE LEE JOHNSON LPN
NPI 1336603109
Licensed Practical Nurse in Marion, IL

Active since January 25, 2019
11531 SUNDERLAND RD, MARION, IL 62959(618) 201-9907 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Lee Johnson Lpn NPPES

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

NICOLE LEE JOHNSON LPN (NPI 1336603109) is an individual licensed practical nurse in Marion, Illinois, licensed in Illinois (043120707) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1336603109
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICOLE LEE JOHNSONCredential: LPN
Location Address11531 SUNDERLAND RDMarion, IL 62959-8274
Mailing Address4713 Elkville RdVergennes, IL 62994-1805 · (618) 201-9907
Sole ProprietorYes
Enumeration DateJanuary 25, 2019
NPI 1336603109 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 IL · 043120707
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.

11531 SUNDERLAND RD, Marion, IL 62959

Other Identifiers 2

Other164W00000XIL · Taxonomy Code
OtherJ52563291734IL · Drivers License

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Registered Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Registered Nurse
11531 SUNDERLAND RD
MARION, IL 62959
Licensed Practical Nurse
11531 SUNDERLAND RD
MARION, IL 62959

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1336603109. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Nicole Johnson located?

Nicole Johnson practices at 11531 Sunderland Rd, Marion, IL 62959. The listed phone number is (618) 201-9907.

What is Nicole 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 Nicole Johnson was last updated on January 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.