WYNESHA DESIREE JOHNICAN-SMITH RN
NPI 1477333201
Registered Nurse - Community Health in Ludowici, GA
Active since September 29, 2023
About Wynesha Desiree Johnican-smith Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYNESHA DESIREE JOHNICAN-SMITH RN (NPI 1477333201) is an individual community health provider in Ludowici, Georgia, licensed in Georgia (RN315777) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1477333201
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameWYNESHA DESIREE JOHNICAN-SMITHCredential: RN
Location Address584 N. MACON STREETLudowici, GA 31316
Mailing Address150 Scranton ConnectorBrunswick, GA 31525-0540 · (912) 626-3063
Phone(912) 545-2107
Fax(912) 545-2112
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1477333201 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in GA · RN315777
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN315777 (GA)
584 N. MACON STREET, Ludowici, GA 31316
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477333201, enumerated as an "individual" on September 29, 2023.
The provider is located at 584 N. MACON STREET LUDOWICI, GA 31316 and the phone number is (912) 545-2107.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
