Individual
MS. SHENKIA ISADORA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 1ST AVE NE, CAIRO, GA 39828-2101
(229) 379-2906
Mailing address
PO BOX 1232, CAIRO, GA 39828-0996
(229) 379-2906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPN071409
GA
164W00000X
Licensed Practical Nurse
Primary
071409
GA
Other
Enumeration date
09/01/2015
Last updated
03/07/2021
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