JEREMIAH JOHNSON
NPI 1639401755
Licensed Practical Nurse in Milwaukee, WI

Active since February 01, 2010
3035 W WISCONSIN AVE APT 205, MILWAUKEE, WI 53208(414) 429-7880 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremiah Johnson NPPES

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

JEREMIAH JOHNSON (NPI 1639401755) is a healthcare organization registered as a licensed practical nurse in Milwaukee, Wisconsin and active in the NPI registry since February 2010. The organization lists Jeremiah Alan Johnson, Licensed Practical Nurse, as its authorized official.

NPPES Registry Identity

NPI1639401755
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameJEREMIAH JOHNSON
Location Address3035 W WISCONSIN AVE APT 205Milwaukee, WI 53208-3987
Mailing Address3035 W Wisconsin Ave Apt 205Milwaukee, WI 53208-3987 · (414) 429-7880
Organization SubpartNo
Authorized OfficialJeremiah Alan JohnsonLicensed Practical Nurse · (414) 429-7880
Enumeration DateFebruary 1, 2010
NPI 1639401755 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 WI · 311777-031
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.
3035 W WISCONSIN AVE APT 205, Milwaukee, WI 53208

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jeremiah Johnson's NPI number?

The NPI number for Jeremiah Johnson is 1639401755. It was assigned to this organization in the NPPES registry on February 1, 2010.

Where is Jeremiah Johnson located?

Jeremiah Johnson is located at 3035 W Wisconsin Ave Apt 205, Milwaukee, WI 53208. The listed phone number is (414) 429-7880.

What is Jeremiah 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 Jeremiah Johnson was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.