Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 196TH ST SW, LYNNWOOD, WA 98036-7010
(425) 984-0788
Mailing address
20043 FOREST PARK DR NE, SHORELINE, WA 98155-1139
(254) 768-3870
(254) 768-3870
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335371
TX
Other
Enumeration date
08/19/2025
Last updated
08/25/2025
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