MRS. MELODY MARQURIS JOHNSON LPN
NPI 1821397506
Licensed Practical Nurse in Milwaukee, WI

Active since March 21, 2011
2911 N 12TH ST, MILWAUKEE, WI 53206(414) 736-1121 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Melody Marquris Johnson Lpn NPPES

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

MRS. MELODY MARQURIS JOHNSON LPN (NPI 1821397506) is an individual licensed practical nurse in Milwaukee, Wisconsin, licensed in Wisconsin (306870-031) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1821397506
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MELODY MARQURIS JOHNSONCredential: LPN
Location Address2911 N 12TH STMilwaukee, WI 53206-2618
Mailing Address2911 N 12th StMilwaukee, WI 53206-2618 · (414) 736-1121
Sole ProprietorYes
Enumeration DateMarch 21, 2011
NPI 1821397506 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 · 306870-031
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.

2911 N 12TH ST, Milwaukee, WI 53206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821397506, enumerated as an "individual" on March 21, 2011.

The provider is located at 2911 N 12TH ST MILWAUKEE, WI 53206 and the phone number is (414) 736-1121.

Licensed Practical Nurse with taxonomy code 164W00000X.