Shanita Shantay Johnson
NPI #1245794031 in Mount Pleasant, Texas
Provider Information
- NPI Number
- 1245794031
- Entity Type
- Individual
- Name
- Shanita Shantay Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 25, 2019
- Last Updated
- Jan 25, 2019
Practice Location
- Address
- 210 CLAYTON AVE
- City
- Mount Pleasant
- State
- Texas
- ZIP Code
- 75455-3732
- Phone
- (903) 855-9637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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Organizations
| Provider Name | |
|---|---|
| Upgrade Healthcare Corporation |
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