Individual
TONI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 LYCAN RD, ASHLAND, KY 41101-7182
(606) 369-8142
Mailing address
125 LYCAN RD, ASHLAND, KY 41101-7182
(606) 369-8142
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LPN.175607.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79781030
—
OH
Enumeration date
10/17/2022
Last updated
10/17/2022
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