Individual
CHAM'PANE TA'CHELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 S EASTERN AVE STE 240, LAS VEGAS, NV 89119-0847
(702) 848-1696
Mailing address
3073 LEONETTI CT, LAS VEGAS, NV 89141-3466
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2390656
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
889990
NV
Other
Enumeration date
03/11/2025
Last updated
12/18/2025
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