NPI 1285202739

Nicole Shanae Johnson, LVN

Practitioner Licensed Vocational Nurse Vacaville, CA

Practice location

Address: 206 Bennett Hill Dr APT B, Vacaville, CA 95688-2942
Phone: (707) 761-0501

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 701991 (CA)

Other Licensed Vocational Nurse providers in California →

Registry record

NPI: 1285202739
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2021
Record last updated: 12 Jul 2021

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.