NPI 1134617046

Rodney Jamar Johnson, RN

Practitioner Assisted Living Facility Surprise, AZ

Practice location

Address: 14384 W Maui Ln, Surprise, AZ 85379-8529
Phone: (623) 556-9009

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL10660H (AZ)

Other Assisted Living Facility providers in Arizona →

Registry record

NPI: 1134617046
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2018
Record last updated: 25 Apr 2018

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.