NPI 1053016782
Shavonna Tiquanna Johnson
Practice location
- Address
- 2811 Pennsylvania Ave SE, Washington, DC 20020-3865
- Phone
- (202) 894-6811
- Mailing address
- 1318 Montello Ave NE, Washington, DC 20002-3820
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053016782
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Apr 2023
- Record last updated
- 3 Apr 2023
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.