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SUSAN JOHNSON LPN
NPI 1790173698
Licensed Practical Nurse in Green Bay, WI

Active since December 30, 2014
2697 HILLSIDE HEIGHTS DR, GREEN BAY, WI 54311(920) 471-7976 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Johnson Lpn NPPES

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

SUSAN JOHNSON LPN (NPI 1790173698) is an individual licensed practical nurse in Green Bay, Wisconsin, licensed in Wisconsin (314600) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1790173698
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN JOHNSONCredential: LPN
Location Address2697 HILLSIDE HEIGHTS DRGreen Bay, WI 54311-6774
Mailing Address2697 Hillside Heights DrGreen Bay, WI 54311-6774 · (920) 471-7976
Phone(920) 471-7976
Sole ProprietorYes
Enumeration DateDecember 30, 2014
✔ NPI 1790173698 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 · 314600
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.
2697 HILLSIDE HEIGHTS DR, Green Bay, WI 54311
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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 Susan Johnson's NPI number?

The NPI number for Susan Johnson is 1790173698. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Susan Johnson located?

Susan Johnson practices at 2697 Hillside Heights Dr, Green Bay, WI 54311. The listed phone number is (920) 471-7976.

What is Susan 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 Susan Johnson was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.