NPI 1073408910

Kaliyah Shanice Johnson, NA

Practitioner Nurse's Aide Myrtle Beach, SC

Practice location

Address: 124 Waterford Pointe Cir Unit 2206, Myrtle Beach, SC 29579-2708
Phone: (843) 360-0515

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 10097321 (SC)

Other Nurse's Aide providers in South Carolina →

Registry record

NPI: 1073408910
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 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.