JORDAN ISAIAH JOHNSON LPN
NPI 1871018366
Licensed Practical Nurse in South Euclid, OH

Active since August 07, 2017
4503 EDMOND DR, SOUTH EUCLID, OH 44121(216) 990-6189 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Isaiah Johnson Lpn NPPES

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

JORDAN ISAIAH JOHNSON LPN (NPI 1871018366) is an individual licensed practical nurse in South Euclid, Ohio, licensed in Ohio (LPN.143733.MEDS-IV) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1871018366
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJORDAN ISAIAH JOHNSONCredential: LPN
Location Address4503 EDMOND DRSouth Euclid, OH 44121-3907
Mailing Address4503 Edmond DrSouth Euclid, OH 44121-3907 · (216) 990-6189
Sole ProprietorYes
Enumeration DateAugust 7, 2017
NPI 1871018366 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 OH · LPN.143733.MEDS-IV
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.
4503 EDMOND DR, South Euclid, OH 44121

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 Jordan Johnson's NPI number?

The NPI number for Jordan Johnson is 1871018366. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Jordan Johnson located?

Jordan Johnson practices at 4503 Edmond Dr, South Euclid, OH 44121. The listed phone number is (216) 990-6189.

What is Jordan 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 Jordan Johnson was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.