Individual
HALISHA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3069 BREMEN ST, COLUMBUS, OH 43224
(614) 261-7861
Mailing address
3069 BREMEN ST, COLUMBUS, OH 43224
(614) 288-4688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
109869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359193
—
OH
Enumeration date
05/02/2007
Last updated
07/08/2007
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