NPI 1134697386

Shemika Johnson

Practitioner Assisted Living Facility Milwaukee, WI

Practice location

Address: 4337 N 13th St, Milwaukee, WI 53209-6938
Phone: (414) 839-8971

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0017087 (WI)

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Registry record

NPI: 1134697386
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2018
Record last updated: 6 Nov 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.