NPI 1003126384

Shelethia Deannine Johnson, CNA

Practitioner Nurse's Aide Tallahassee, FL

Practice location

Address: 7980 Tally Ann Dr, Tallahassee, FL 32311-9481
Phone: (850) 321-4648

Registered specialties (6)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 79422 (FL)

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X Licence 79422 (FL)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 79422 (FL)

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X Licence 79422 (FL)

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 79422 (FL)

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X Licence 79422 (FL)

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Registry record

NPI: 1003126384
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2010
Record last updated: 20 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.