Individual
MRS. KIMBERLY NE'SHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
945 WATER ST APT 1, FITCHBURG, MA 01420-6365
(701) 441-9128
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN10009394
MA
164W00000X
Licensed Practical Nurse
LN97069
MA
Other
Enumeration date
07/04/2019
Last updated
08/21/2024
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