DEBRA L JOHNSON LPN
NPI 1891052221
Licensed Practical Nurse in Bentonville, AR

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 23, 2012

2508 SE 20TH ST, BENTONVILLE, AR 72712(479) 750-2020(479) 750-8967 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Debra L Johnson Lpn NPPES

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

DEBRA L JOHNSON LPN (NPI 1891052221) is an individual licensed practical nurse in Bentonville, Arkansas, licensed in Arkansas (L45817) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1891052221

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDEBRA L JOHNSONCredential: LPN

Location Address2508 SE 20TH STBentonville, AR 72712-4008

Mailing Address2508 Se 20th StBentonville, AR 72712-4008 · (479) 750-2020 · Fax (479) 750-8967

Phone(479) 750-2020

Fax(479) 750-8967

Sole ProprietorNo

Enumeration DateApril 23, 2012

✔ NPI 1891052221 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 AR · L45817

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.

2508 SE 20TH ST, Bentonville, AR 72712

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