NPI 1104703313

Nicole Johnson

Practitioner Licensed Vocational Nurse Lynnwood, WA

Practice location

Address: 2322 196th St SW, Lynnwood, WA 98036-7010
Phone: (425) 984-0788
Mailing address: 20043 Forest Park Dr NE, Shoreline, WA 98155-1139

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 335371 (TX)

Other Licensed Vocational Nurse providers in Washington →

Registry record

NPI: 1104703313
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2025
Record last updated: 25 Aug 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.