Nicole Lee Johnson, LPN

NPI #1336603109 in Marion, Illinois

Provider Information

NPI Number
1336603109
Entity Type
Individual
Name
Nicole Lee Johnson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 25, 2019
Last Updated
Jan 25, 2019

Practice Location

Address
11531 SUNDERLAND RD
City
Marion
ZIP Code
62959-8274
Phone
(618) 201-9907

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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