Individual
SAMYRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11531 PLANEWOOD CT UNIT HMOFC, INDIANAPOLIS, IN 46235-3630
(317) 222-8953
Mailing address
5625 N GERMAN CHURCH RD UNIT 2245, INDIANAPOLIS, IN 46235-8513
(317) 537-7844
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27074787A
IN
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
12/17/2024
Last updated
02/26/2025
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