Individual
SHARON L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 W 4TH ST, MANSFIELD, OH 44902-1206
(419) 522-4969
Mailing address
40 W 4TH ST, MANSFIELD, OH 44902-1206
(419) 522-4969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.144615
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.144615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972553063
BUSINESS NPI
OH
05
—
2098359
—
OH
Enumeration date
12/30/2016
Last updated
01/11/2017
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