NPI 1003610221

Shyann Johnson, LPN

Practitioner Licensed Practical Nurse Philadelphia, PA

Practice location

Address: 5902 Old York Rd, Philadelphia, PA 19141-2342
Phone: (215) 927-3738

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN308791 (PA)

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Registry record

NPI: 1003610221
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2025
Record last updated: 18 Apr 2025

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.