NPI 1639908882

Nicole Nyesha Johnson, LPN

Practitioner Licensed Psychiatric Technician Philadelphia, PA

Practice location

Address: 514 S 57th St # a, Philadelphia, PA 19143-1928
Phone: (215) 617-5996

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence PN295419 (PA)

Other Licensed Psychiatric Technician providers in Pennsylvania →

Registry record

NPI: 1639908882
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2024
Record last updated: 27 Jul 2024

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.