Tanisha Johnson, LPN

NPI #1336834225 in Peru, Indiana

Provider Information

NPI Number
1336834225
Entity Type
Individual
Name
Tanisha Johnson, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 7, 2023
Last Updated
Apr 7, 2023

Practice Location

Address
1496 W HOOSIER BLVD
City
Peru
State
Indiana
ZIP Code
46970-3727
Phone
(765) 472-8907

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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