NICOLE NYESHA JOHNSON LPN
NPI 1639908882
Licensed Psychiatric Technician in Philadelphia, PA

Active since July 27, 2024
514 S 57TH ST # A, PHILADELPHIA, PA 19143(215) 617-5996 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Nyesha Johnson Lpn NPPES

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

NICOLE NYESHA JOHNSON LPN (NPI 1639908882) is an individual licensed psychiatric technician in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN295419) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1639908882
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameNICOLE NYESHA JOHNSONCredential: LPN
Location Address514 S 57TH ST # APhiladelphia, PA 19143-1928
Mailing Address514 S 57th St # APhiladelphia, PA 19143-1928 · (215) 617-5996
Sole ProprietorYes
Enumeration DateJuly 27, 2024
NPPES CertifiedJuly 27, 2024
NPI 1639908882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in PA · PN295419
Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

514 S 57TH ST # A, Philadelphia, PA 19143

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 1639908882. It was assigned to this individual provider in the NPPES registry on July 27, 2024.

Where is Nicole Johnson located?

Nicole Johnson practices at 514 S 57th St # A, Philadelphia, PA 19143. The listed phone number is (215) 617-5996.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on July 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.