Individual
SHYANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5902 OLD YORK RD, PHILADELPHIA, PA 19141-2342
(215) 927-3738
Mailing address
5902 OLD YORK RD, PHILADELPHIA, PA 19141-2342
(215) 927-3738
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN308791
PA
Other
Enumeration date
04/04/2025
Last updated
04/18/2025
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